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. 2017 Jan 18;2(4):82-84.
doi: 10.1016/j.vgie.2017.01.007. eCollection 2017 Apr.

Underwater endoscopic submucosal dissection of a nonpolypoid superficial tumor spreading into the appendix

Federico Iacopini  1 , Takuji Gotoda  2 , Fabrizio Montagnese  1 , Fabio Andrei  1 , Yutaka Saito  3
Affiliations

Underwater endoscopic submucosal dissection of a nonpolypoid superficial tumor spreading into the appendix

Federico Iacopini et al. VideoGIE. .
No abstract available

Keywords: ESD, endoscopic submucosal dissection.

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Figures

Figure 1
Figure 1
A, Underwater intubation of the appendix. B, Visualization of the appendiceal tumor margins.
Figure 2
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.
Figure 3
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.
Figure 4
Figure 4
Resected specimen.
Figure 5
Figure 5
Scar at the resection site.
See this image and copyright information in PMC

References

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