A randomized controlled trial involving 69 patients demonstrated that the sequential injection-electrocoagulation method significantly reduced the median time to hemostasis during endoscopic submucosal dissection (17 seconds) compared to traditional electrocoagulation (22 seconds), with p < 0.001. The experimental method also yielded higher visibility scores (3.24 vs. 2.82; p < 0.001) and reduced muscle injuries compared to the control group. Notably, one case of perforation was recorded in the control group, highlighting increased risks with traditional methods.
Journal Article by Ma ZY, Yang Z (…) Fan CQ et 7 al. in Surg Endosc
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