How many of you use default settings on your endosurgical generator for sphincterotomy during ERCP? How many of you have personalized settings? I always use personalized settings based on my experience and preference. What do you do? Please RT and answer below. #GItwitter

Personalized settings for me (at least when in my home base). I like a moderately long cutting duration and a short coagulation cycle. Some folks may appreciate the educational material here from #Erbe: @ASGEendoscopy

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Personalised I tweak the settings based on 👉 using sphincterotome or NK 👉papilla morphology 👉scope position For papillotomy and small papilla sphincterotomy, I prefer to keep effect 1 for initial cut, then switch to default after Most other situations, default works fine What is your practice? How do you tweak your settings?

I use the ERBE preset settings, what is your preferred settings?

Pulse cut 40

There is too much coagulation with Erbe pre settings. I use effect 1.

I use Effect: 3 Duration: 2 Interval: 3

Default

Default

Mostly with preset

I generally use the default setting during ERCP. Personalized setting only in pts with cirrhosis. 🇦🇷