1. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 1. Flow diagram of patient enrollment.
© 2012 S. Karger AG, Basel

2. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 2. Endoscopic image of a lesion before pESD. The lesion was located on the anterior wall of the lower body. Marks were placed around the lesion. An additional mark (arrow) was placed as an orientation indicator of the specimen.
© 2012 S. Karger AG, Basel

3. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 3. Endoscopic image after pESD.
© 2012 S. Karger AG, Basel

4. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 4. Pathological specimen of pESD. The arrow indicates the position shown by the arrow in figure 2. Carcinoma was confirmed in the area with horizontal lines (pathological findings: moderately differentiated adenocarcinoma, 48 × 37 mm, depth m, positive lateral margin). Positive lateral margins indicated with stars.
© 2012 S. Karger AG, Basel

5. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 5. Endoscopic image of sESD. Marks are placed around the distal side of the ulcer that developed after pESD.
© 2012 S. Karger AG, Basel

6. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 6. Endoscopic image after sESD.
© 2012 S. Karger AG, Basel

7. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 7. Pathological specimen from sESD. Residual carcinoma was confirmed in the area with horizontal lines. After reconstruction with pathological findings of pESD, the treated site was judged negative for residual carcinoma after sESD and this case was followed after sESD.
© 2012 S. Karger AG, Basel

8. Safety and Efficacy of Secondary Endoscopic Submucosal Dissection for Residual Gastric Carcinoma after Primary Endoscopic Submucosal Dissection
Digestion 2012;86:288– DOI: /
Fig. 8. Clinical course after sESD in 8 patients.
© 2012 S. Karger AG, Basel