TY  - JOUR
T1  - Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection
AU  - Baş, Berk
AU  - Küçükdemirci, Ömer
AU  - Kandemir, Altay
AU  - Taşkıran, İsmail
AU  - Yaşa, Mehmet Hadi
AU  - Şahin, Halil
AU  - Erdem Çağı, Müge
PY  - 2026
DA  - March
Y2  - 2026
DO  - 10.47582/jompac.1865761
JF  - Journal of Medicine and Palliative Care
JO  - J Med Palliat Care / JOMPAC / jompac
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2717-7505
SP  - 386
EP  - 390
VL  - 7
IS  - 2
LA  - en
AB  - Aims: Endoscopic submucosal dissection (ESD) is an established technique for the curative resection of large colorectal lesions; however, intraoperative bleeding remains a major technical challenge. Electrosurgical coagulation modes are modifiable procedural factors that may influence bleeding control and procedural efficiency. This study aimed to compare the clinical outcomes of Swift and Spray coagulation modes during colorectal ESD. Methods: This retrospective, single-center study included 594 consecutive patients who underwent colorectal ESD between January 2021 and December 2025. Patients were divided into the Spray and Swift coagulation groups according to the coagulation mode used during submucosal dissection. Procedural characteristics, intraoperative and delayed bleeding, perforation rates, and other adverse events were analyzed and compared between groups. Results: Baseline patient and lesion characteristics were comparable between the two groups. The mean procedure time was significantly shorter in the Spray coagulation group compared with the Swift coagulation group (42.2±23.7 vs 51.7±31.9 minutes, p
KW  - ESD
KW  - outcome
KW  - Spray
KW  - Swif
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UR  - https://doi.org/10.47582/jompac.1865761
L1  - https://dergipark.org.tr/en/download/article-file/5614235
ER  -