Volume 4, Issue 5, Pages (May 2019)

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Volume 4, Issue 5, Pages 230-231 (May 2019) New inversion method: endoscopic submucosal dissection of a neoplasm extending into a colonic diverticulum  Jun Arimoto, MD, PhD, Hideyuki Chiba, MD, PhD, Jun Tachikawa, MD, Tohru Goto, MD, PhD, Atsushi Nakajima, MD, PhD  VideoGIE  Volume 4, Issue 5, Pages 230-231 (May 2019) DOI: 10.1016/j.vgie.2019.01.006 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Endoscopic image of a colonic lesion in a 76-year-old man. B, Part of the lesion extends into the colonic diverticulum. VideoGIE 2019 4, 230-231DOI: (10.1016/j.vgie.2019.01.006) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Inversion of the diverticulum allowed good visibility of the entire lesion. A, Mucosal incision was started at the diverticulum side (proximal side). B, Wound after endoscopic submucosal dissection, showing a defect in the muscularis propria at the diverticulum (black arrows). C, The wound, including the defect in the muscularis propria, was completely closed with clips. VideoGIE 2019 4, 230-231DOI: (10.1016/j.vgie.2019.01.006) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions