Volume 4, Issue 6, Pages (June 2019)

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Volume 4, Issue 6, Pages 276-278 (June 2019) Usefulness and safety of colorectal precutting EMR and hybrid endoscopic submucosal dissection for sessile serrated polyps with use of a novel multifunctional snare Yuzuru Tamaru, MD, PhD, Toshio Kuwai, MD, PhD, Kazutaka Kuroki, MD, Hiroshi Kohno, MD, PhD, Sauid Ishaq, FRCP VideoGIE Volume 4, Issue 6, Pages 276-278 (June 2019) DOI: 10.1016/j.vgie.2019.02.008 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, A novel multifunctional snare (Souten), designed to perform precutting EMR and hybrid endoscopic submucosal dissection. B, Part of an 18.5-mm snare. C, Part of a 1.5-mm needle-knife and a knob-shaped tip attached to the top of the snare loop. VideoGIE 2019 4, 276-278DOI: (10.1016/j.vgie.2019.02.008) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Images from patient 1, a 70-year-old man. A 20-mm white, flat, elevated lesion between the folds in the ascending colon was resected by hybrid endoscopic submucosal dissection (ESD) with the use of a multifunctional snare (MFS). A, Endoscopic image (indigo carmine spray). B, Ulcer floor after hybrid ESD with the use of MFS. VideoGIE 2019 4, 276-278DOI: (10.1016/j.vgie.2019.02.008) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Images from patient 2, a 62-year-old woman. A, A 20-mm white, flat, elevated lesion in the ascending colon was resected by precutting EMR with the use of a multifunctional snare (MFS). Endoscopic image (indigo carmine spray). B, Ulcer floor after precutting EMR with the use of MFS. VideoGIE 2019 4, 276-278DOI: (10.1016/j.vgie.2019.02.008) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions