Abstract
Underwater endoscopic mucosal resection (EMR) is currently performed in various situations [1] [2] [3] [4]. One advantage to using water is the buoyancy effect on the mucosa, which raises it from the deeper muscularis propria without submucosal injection [1]. However, it takes time to fill the intestinal tract with water, leading to an increased risk of peristalsis and abdominal distension. In addition, underwater EMR on lesions extending into narrow spaces can be difficult to snare because constant water pressure is required. Here, we present a case in which a colonic adenoma extending into the diverticulum was successfully resected using “under-gel EMR” via VISCOCLEAR, a gel product for endoscopic procedures (Otsuka Pharmaceutical Factory, Tokushima, Japan).
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
