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Takuji Gotoda  Clinical Gastroenterology and Hepatology 

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Presentation on theme: "Takuji Gotoda  Clinical Gastroenterology and Hepatology "— Presentation transcript:

1 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: /S (05)00251-X Copyright © 2005 American Gastroenterological Association Terms and Conditions

2 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: ( /S (05)00251-X) Copyright © 2005 American Gastroenterological Association Terms and Conditions


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