Standard EMR techniques may not allow a complete resection of large lesions located in difficult places like the rectosigmoid junction. The advantages of cap-assisted EMR are better visualization of the… Click to show full abstract
Standard EMR techniques may not allow a complete resection of large lesions located in difficult places like the rectosigmoid junction. The advantages of cap-assisted EMR are better visualization of the operative field and the possibility to resect lesions irrespective of their locations. We performed cap-assisted EMR of a laterally spreading tumor granular type (Paris classification 0-IIaĆ¾Is, Kudo pit pattern IV, 60 mm in size) involving the proximal rectum and the rectosigmoid junction in a 40-year-old woman (Fig. 1) (Video 1, available online at www.VideoGIE.org). The patient underwent colonoscopy because of abdominal pain. The cap-assisted EMR was uneventful, and intraprocedural bleeding was successfully treated by the application of endoclips. The patient was discharged
               
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