Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection

Berk Baş; Ömer Küçükdemirci; Altay Kandemir; İsmail Taşkıran; Mehmet Hadi Yaşa; Halil Şahin; Müge Erdem Çağı

doi:10.47582/jompac.1865761

Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection

Abstract

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<0.001). The mean number of hemostatic forceps applications was also significantly lower in the Spray group (1.53±2.00 vs 2.58±2.63, p<0.001). Intraoperative bleeding occurred more frequently in the Swift group, whereas rates of delayed bleeding, perforation, and local recurrence were low and did not differ significantly between groups. Conclusion: Both Swift and Spray coagulation modes can be safely used during colorectal ESD. However, Spray coagulation is associated with shorter procedure time and reduced intraoperative bleeding, suggesting practical advantages in technically demanding procedures. These findings, derived from a large single-center cohort, support the clinical relevance of coagulation mode selection. Prospective multicenter studies are warranted to confirm these results.

Keywords

References

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Details

Primary Language

English

Subjects

Gastroenterology and Hepatology

Journal Section

Research Article

Authors

Berk Baş ^*
0000-0002-0652-2147
Türkiye

Ömer Küçükdemirci
0000-0001-7642-2793
Türkiye

Altay Kandemir
0000-0002-2918-3811
Türkiye

İsmail Taşkıran
0000-0001-5450-5133
Türkiye

Mehmet Hadi Yaşa
0000-0002-0571-2766
Türkiye

Halil Şahin
0000-0002-2718-0326
Türkiye

Müge Erdem Çağı
0009-0009-3322-6528
Türkiye

Publication Date

March 27, 2026

Submission Date

January 17, 2026

Acceptance Date

March 24, 2026

Published in Issue

Year 2026 Volume: 7 Number: 2

DOI

https://doi.org/10.47582/jompac.1865761

IZ

https://izlik.org/JA53PT24UX

Cite

RIS / Bibtex

APA

Baş, B., Küçükdemirci, Ö., Kandemir, A., Taşkıran, İ., Yaşa, M. H., Şahin, H., & Erdem Çağı, M. (2026). Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection. Journal of Medicine and Palliative Care, 7(2), 386-390. https://doi.org/10.47582/jompac.1865761

AMA

1.Baş B, Küçükdemirci Ö, Kandemir A, et al. Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection. J Med Palliat Care / JOMPAC / jompac. 2026;7(2):386-390. doi:10.47582/jompac.1865761

Chicago

Baş, Berk, Ömer Küçükdemirci, Altay Kandemir, et al. 2026. “Impact of Swift Versusspray Coagulation on Procedural Outcomes in Colorectal Endoscopic Submucosal Dissection”. Journal of Medicine and Palliative Care 7 (2): 386-90. https://doi.org/10.47582/jompac.1865761.

EndNote

Baş B, Küçükdemirci Ö, Kandemir A, Taşkıran İ, Yaşa MH, Şahin H, Erdem Çağı M (March 1, 2026) Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection. Journal of Medicine and Palliative Care 7 2 386–390.

IEEE

[1]B. Baş et al., “Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection”, J Med Palliat Care / JOMPAC / jompac, vol. 7, no. 2, pp. 386–390, Mar. 2026, doi: 10.47582/jompac.1865761.

ISNAD

Baş, Berk - Küçükdemirci, Ömer - Kandemir, Altay - Taşkıran, İsmail - Yaşa, Mehmet Hadi - Şahin, Halil - Erdem Çağı, Müge. “Impact of Swift Versusspray Coagulation on Procedural Outcomes in Colorectal Endoscopic Submucosal Dissection”. Journal of Medicine and Palliative Care 7/2 (March 1, 2026): 386-390. https://doi.org/10.47582/jompac.1865761.

JAMA

1.Baş B, Küçükdemirci Ö, Kandemir A, Taşkıran İ, Yaşa MH, Şahin H, Erdem Çağı M. Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection. J Med Palliat Care / JOMPAC / jompac. 2026;7:386–390.

MLA

Baş, Berk, et al. “Impact of Swift Versusspray Coagulation on Procedural Outcomes in Colorectal Endoscopic Submucosal Dissection”. Journal of Medicine and Palliative Care, vol. 7, no. 2, Mar. 2026, pp. 386-90, doi:10.47582/jompac.1865761.

Vancouver

1.Berk Baş, Ömer Küçükdemirci, Altay Kandemir, İsmail Taşkıran, Mehmet Hadi Yaşa, Halil Şahin, Müge Erdem Çağı. Impact of swift versusspray coagulation on procedural outcomes in colorectal endoscopic submucosal dissection. J Med Palliat Care / JOMPAC / jompac. 2026 Mar. 1;7(2):386-90. doi:10.47582/jompac.1865761