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. 2024 Oct 14;56(Suppl 1):E864–E865. doi: 10.1055/a-2420-7896

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1 — Rectal endoscopic full-thickness resection followed by a closure with endoscopic hand suturing (Case 2). a The rectal neuroendocrine tumor: Circumferential mucosal incision and submucosal dissection were performed. b A full-thickness defect was created. c The muscular layers were sutured using the endoscopic hand suturing technique. d Muscular layers can be selectively sutured from right to left. The mucosal layers were subsequently continuously sutured from left to right. e The full-thickness defect was completely closed.