Volume 2, Issue 2, Pages (February 2017)

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Presentation transcript:

Volume 2, Issue 2, Pages 32-34 (February 2017) Multiple tunneling technique for treatment of rectal circumferential laterally spreading tumor with endoscopic submucosal dissection  Fatih Aslan, MD, Zehra Akpınar, MD, Melek Kucuk, MD, Derya Arslan Yurtlu, MD, Belkis Unsal, MD  VideoGIE  Volume 2, Issue 2, Pages 32-34 (February 2017) DOI: 10.1016/j.vgie.2016.11.003 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A-C, Endoscopic views of the laterally spreading tumor. VideoGIE 2017 2, 32-34DOI: (10.1016/j.vgie.2016.11.003) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Endoscopic submucosal dissection strategy. A, Schematic view of the lesion. B, Opening the first tunnel from the anal site to the proximal site of the lesion. C, Opening 3 different tunnels from the anal site to the proximal site of the lesion. D, Joining the tunnels in a sequence. VideoGIE 2017 2, 32-34DOI: (10.1016/j.vgie.2016.11.003) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Entrances of tunnels at anal site. VideoGIE 2017 2, 32-34DOI: (10.1016/j.vgie.2016.11.003) Copyright © 2017 The Authors Terms and Conditions

Figure 4 A-C, Endoscopic views of resected area after the procedure. VideoGIE 2017 2, 32-34DOI: (10.1016/j.vgie.2016.11.003) Copyright © 2017 The Authors Terms and Conditions

Figure 5 A, B, Endoscopic views of resected area at the 6th-month control colonoscopy. VideoGIE 2017 2, 32-34DOI: (10.1016/j.vgie.2016.11.003) Copyright © 2017 The Authors Terms and Conditions