Volume 2, Issue 10, Pages (October 2017)

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Volume 2, Issue 10, Pages 290-292 (October 2017) Endoscopic treatment of internal hemorrhoids by use of a bipolar system Shaffer R.S. Mok, MD, MBS, Harshit S. Khara, MD, Amitpal S. Johal, MD, Bradley D. Confer, DO, David L. Diehl, MD, FACP, FASGE VideoGIE Volume 2, Issue 10, Pages 290-292 (October 2017) DOI: 10.1016/j.vgie.2017.07.004 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Bipolar system: visible bipolar device platform with active blue light (upper right corner), signifying power-on status and green light (mid-left), with power into electrocautery system. VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Speculum and bipolar system: visible bipolar system (left) and speculum with built-in illumination, bipolar energy delivery system, and handle that controls tissue approximation (right). VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Equipment: 2-inch tape (left), hemorrhoidal forceps (upper right), through-the-scope grasping forceps (lower right, left-most), surgical lubricant (lower right, right-most). VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Proper installation of bipolar system: cord from bipolar device placed into uppermost bipolar portion of electrocautery system. VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Electrocautery setting for bipolar system. Visible monitor reveals bipolar setting of electrocautery system at effect 1, 8 W. VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Bipolar system high-temperature alarm. Visible bipolar system with red light (lower left) indicating above-target temperature reached, accompanied with audible alarm. VideoGIE 2017 2, 290-292DOI: (10.1016/j.vgie.2017.07.004) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions