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Patient 3 ESD/EMR combined procedure. a Endoscopic view of the polyp at the recto-sigmoid junction. b Spraying with 1% indigo carmine. c Infiltration of submucosa and anterior and lateral excision of lesion with Hook-Knife. d Removal of residual flap with complete removal of lesion e Fragment of excised lesion (2 cm in diameter) f Endoscopic control at 3 months.
