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EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis

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re 1. Strategy for EMR with use of an over-the-scope clip (OTSC) (EMRO). A, Chromoendoscopic image with indigo carmine dye. B, Marking of the er of the target lesion with… Click to show full abstract

re 1. Strategy for EMR with use of an over-the-scope clip (OTSC) (EMRO). A, Chromoendoscopic image with indigo carmine dye. B, Marking of the er of the target lesion with the tip of an electrosurgical snare. C, Successful deployment of the OTSC outside marking (yellow arrows). Pseudoprong polyps above the OTSC. D, Deployment of endoscopic clip with dental floss near the marking. E, Resection with an electrosurgical snare above TSC. F, Post-EMRO defect without perforation or overt bleeding. G, Resected specimen. The lateral margin is free from tumor cells. H, Histopathc examination revealing the tumor as a high-grade intraepithelial neoplasia with negative resection margins (H&E, orig. mag. 100).

Keywords: emr scope; clip superficial; scope clip; tumor

Journal Title: VideoGIE
Year Published: 2018

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