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Fig. 3 | BMC Gastroenterology

Fig. 3

From: Novel modified endoscopic mucosal resection of large GI lesions (> 20 mm) using an external additional working channel (AWC) may improve R0 resection rate: initial clinical experience

Fig. 3

Clinical case of EMR+ procedure. a Target lesion, Paris 0-Ip, size 30 mm. b After submucosal injection of HAES 0.6% and mounting of the AWC on the scope the lesion is grasped through a 25 mm snare. c Retraction of the lesion with the grasper and closure of the snare. d Followed by endoscopic resection. Histopathological examination revealed tubulovillous adenoma with low-grade dyplasia, R0 resection

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