Surgical Endoscopy

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LST-G Hybrid ESD Resection

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LST-G rectal lesion resected with hybrid ESD (due to patient becoming finally uncooperative). Resection in endscopy unit without sedation. Snare size 35mm embedded into proximal incision.

SEMS Overgrowth

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Pancreatic tumor with biliary distal occlusion treated with SEMS. Comes back jaundiced... previous retrograde attempt in another centre failed... . Referred for trangastric or transhepatic EUS approach...