Pocket endoscopic submucosal dissection with countertraction and partial full-thickness excision as salvage therapy for advanced colonic adenoma with.

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Pocket endoscopic submucosal dissection with countertraction and partial full-thickness excision as salvage therapy for advanced colonic adenoma with severe fibrosis Georgios Mavrogenis, MD VideoGIE Volume 3, Issue 7, Pages 211-212 (July 2018) DOI: 10.1016/j.vgie.2018.01.008 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Endoscopic view of a nongranular laterally spreading tumor. B, White light zoom endoscopy showing an irregular distribution of small tortuous vessels. C, Creation of a submucosal pocket underneath the lesion. D, Placement of a small clip at the edge of the mucosal flap. E, Loading a snare over the endoscope. F, Circumferential resection. G, Transmural wall defect. H, Closure of the wall defect with multiple clips. I, Endoscopic image of the site of resection at 7 months of follow-up. A small nodule of granulomatous tissue is seen at the site of previous clipping. VideoGIE 2018 3, 211-212DOI: (10.1016/j.vgie.2018.01.008) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions