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Strengthening of traction during colorectal ESD. a LST-G 70 mm in size was located in the cecum down to ascending colon. b M-loop with three loops (white thread) are attached to the lesion and contralateral wall with clips. c, d A new clip was introduced via working channel, and hooked onto the second loop and attached to contralateral wall for intensified traction, which gave excellent traction that effectively exposed submucosal layer.
