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. 2012 Jan 1;2(1):23–30. doi: 10.4161/jig.20131

Figure 4.

Figure 4

Resection of an adenoma with a significant laterally spreading component (LST-P). A: the lesion's margins are closely examined; B–E: standard EMR techniques are used to resect the extra-papillary portion of the lesion; F: the papilla is excised en-bloc; G: needle knife used to gain deep biliary access; H: pancreatic stenting is performed prior to bleeding that may hamper visualisation.