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A 63-year-old-woman was referred because of a 40-mm laterally-spreading tumor, nongranular type (LST-NG), Paris 0-Is + IIa, JNET type 2B, in the descending colon, with a tattoo beneath it, consistent… Click to show full abstract
A 63-year-old-woman was referred because of a 40-mm laterally-spreading tumor, nongranular type (LST-NG), Paris 0-Is + IIa, JNET type 2B, in the descending colon, with a tattoo beneath it, consistent with a residual lesion following a previous resection. Endoscopic submucosal dissection (ESD) was initiated with a partial mucosal incision (▶Video 1). Difficulty was experienced in exposing the submucosal layer, even with the pocket-creation method and an underwater strategy. After complete circumferential incision had been performed, a clip grasping a rubber band with three nylon rings attached, which were handmade with fishing line, was applied to the lesion (▶Fig. 1 a). One of the nylon rings was grasped with another clip and fixed to the opposite bowel wall. thereby providE-Videos
Journal Title: Endoscopy
Year Published: 2022
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