Video Comment on Takahashi et al.

Hidekazu Takahashi et al. Simultaneous automatic insufflation and smoke-evacuation system in flexible gastrointestinal endoscopy

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In this animal study, in which steady pressure automatically controlled endoscopy (SPACE) technology was used during mucosal ablation, the authors demonstrated that the surgical smoke generated from ablation is potentially hazardous to endoscopists. Automated smoke evacuation and steady maintenance of insufflation with SPACE technology could serve as a solution during advanced endoscopic interventions, but human studies are required to demonstrate this.