Clip-assisted EMR: a new resection technique for treating flat remnants of colonic polyp tissue during piecemeal EMR Matthijs P. Schwartz, MD, PhD VideoGIE

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Clip-assisted EMR: a new resection technique for treating flat remnants of colonic polyp tissue during piecemeal EMR Matthijs P. Schwartz, MD, PhD VideoGIE Volume 3, Issue 12, Pages 403-405 (December 2018) DOI: 10.1016/j.vgie.2018.08.008 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Lateral spreading adenomatous polyp (arrows) in the right segment of the colon. B, Flat central remnant of polyp tissue after attempts at snare removal during piecemeal resection. C, Result after clip-assisted EMR. D, Narrow-band imaging view of post-EMR scar after 6 months. VideoGIE 2018 3, 403-405DOI: (10.1016/j.vgie.2018.08.008) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, Sessile serrated polyp after submucosal injection with indigo carmine/saline solution. B, Flat central remnant of polyp tissue after attempts at snare removal during piecemeal resection. C, Tenting and lifting of polyp remnant after clipping. D, Snare resection of polyp remnant. E, Result after clip-assisted EMR and additional snare tip coagulation of tiny visible remnants. VideoGIE 2018 3, 403-405DOI: (10.1016/j.vgie.2018.08.008) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions