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Volume 2, Issue 4, Pages (April 2017)

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1 Volume 2, Issue 4, Pages 82-84 (April 2017)
Underwater endoscopic submucosal dissection of a nonpolypoid superficial tumor spreading into the appendix  Federico Iacopini, MD, Takuji Gotoda, PhD, FASGE, Fabrizio Montagnese, MD, Fabio Andrei, MD, Yutaka Saito, MD, PhD  VideoGIE  Volume 2, Issue 4, Pages (April 2017) DOI: /j.vgie Copyright © 2017 The Authors Terms and Conditions

2 Figure 1 A, Underwater intubation of the appendix. B, Visualization of the appendiceal tumor margins. VideoGIE 2017 2, 82-84DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

3 Figure 2 A, Small-volume submucosal injection at the appendiceal tumor edge (red arrow) avoiding lumen occlusion and lifting at the orifice with B, subsequent mucosal incision. VideoGIE 2017 2, 82-84DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

4 Figure 3 A, Retrograde circumferential mucosal incision (red arrows) and straightforward dissection from the cecal area (CA) to the appendiceal area (AA) (black arrow) into the appendiceal lumen (AL). B, Severe submucosal fibrosis. VideoGIE 2017 2, 82-84DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

5 Figure 4 Resected specimen.
VideoGIE 2017 2, 82-84DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

6 Figure 5 Scar at the resection site.
VideoGIE 2017 2, 82-84DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions


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