Endoscopy video case: LST-G mixed type at 40 cm from anus, located in a flexure with enhanced respiratory and vascular mobility. Procedure started with lateral incision. Piecemeal endsocopic mucosal resection enabled complete lesion removal. Technical difficulty of this resection was its location and submucosal cushion creating little space with fluid retention at the operating site in an elderly unsedated patient in whom changing position was a bit of a challenge.
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