Clin Endosc.  2018 Jul;51(4):393-394. 10.5946/ce.2017.176.

The “Tenting-into-an-External-Snare Technique”: A Novel Single Channel Traction Approach for Endoscopic Resection of Difficult-to-Access Lesions Using a Wide-Necked Cap

Affiliations
  • 1Department of Medicine, Marienhausklinik St. Josef Kohlhof, Neunkirchen, Germany. vincent.zimmer@gmx.de
  • 2Department of Medicine II, Saarland University Medical Center, Saarland University Homburg, Homburg, Germany.
  • 3Institute of Pathology, Saarbrücken-Rastpfuhl, Saarbrücken, Germany.

Abstract

No abstract available.


MeSH Terms

Traction*

Figure

  • Fig. 1. (A) Anchoring of the external snare to the over-the-scope clip demo cap. (B) Indigocarmine-enhanced visualization of the flat lesion deep in the appendiceal orifice from 8 to 2 o´clock. (C) Release of the external snare by forward pushing, with subsequent forceps-assisted positioning around the lesion (not shown). (D) Successful forceps traction with tenting into the external snare and resection. Inset: clean resection with a formal, albeit not adequately validated in this specific situation, “target sign” at the base before clip closure.


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