Takuji Gotoda Clinical Gastroenterology and Hepatology

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Presentation transcript:

A Large Endoscopic Resection by Endoscopic Submucosal Dissection Procedure for Early Gastric Cancer Takuji Gotoda Clinical Gastroenterology and Hepatology Volume 3, Issue 7, Pages S71-S73 (July 2005) DOI: 10.1016/S1542-3565(05)00251-X Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 1 (A) IT knife, (B) hook knife, (C) markings by needle knife with coagulation current, (D) circumferential mucosal cutting by IT knife with ENDO-CUT (ERBE) mode after diluted epinephrine injection to raise the submucosa, (E) dissecting submucosal layer using IT knife with ENDO-CUT (ERBE) after sufficient additional injection of diluted epinephrine injection to prevent perforation, (F) a large ESD defect after a complete 1-piece resection without perforation, (G) perforation by IT knife, and (H) complete closure by endoscopic clips. Clinical Gastroenterology and Hepatology 2005 3, S71-S73DOI: (10.1016/S1542-3565(05)00251-X) Copyright © 2005 American Gastroenterological Association Terms and Conditions