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Diagnosis of colorectal tumorous lesions by magnifying endoscopy. The Clip-flap method To facilitate the mucosal flap creation, we developed the clip-flap method, in which an endoclip is substituted for the mucosal flap until the flap is completed[ 13 - 15 ]. Saito et al[ 52 ]. The edges of the scissor-type endoknife was opened; C: A pilot study to assess the safety and efficacy of carbon dioxide insufflation during colorectal endoscopic submucosal dissection with the patient under conscious sedation. Bleeding worsens the translucency of submucosal layer and makes dissection of the submucosal layer much more challenging after bleeding. Colonic flexure and extensibility commonly causes paradoxical movement of the endoscope.
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