Volume 2, Issue 8, Pages (August 2017)

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Presentation transcript:

Volume 2, Issue 8, Pages 211-212 (August 2017) Endoscopic submucosal dissection with a scissors-type knife for post-EMR recurrence tumor involving the colon diverticulum Takeshi Takasago, MD, Toshio Kuwai, MD, Toshiki Yamaguchi, MD, Hiroshi Kohno, MD, Sauid Ishaq, FRCP VideoGIE Volume 2, Issue 8, Pages 211-212 (August 2017) DOI: 10.1016/j.vgie.2017.05.002 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Endoscopic submucosal dissection with SB Knife Jr for post-EMR recurrence tumor involving the colon diverticulum. A polypoidal tumor (Paris 0–Is) can be seen in the sigmoid colon (approximately 20 mm in diameter); a post-EMR scar is seen on the left side of the lesion. B, Endoscopic submucosal dissection was started from the anal side, and submucosal dissection was performed to the part of the diverticulum. C, Tumor invading the diverticulum and severe fibrosis due to post-EMR scar around the muscle defect of the diverticulum. D, Submucosal dissection was performed carefully at the muscle defect. E, The lesion was resected en bloc without perforation. F, The resection surface including the muscle defect was closed with clips. VideoGIE 2017 2, 211-212DOI: (10.1016/j.vgie.2017.05.002) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions