HYBRID RESECTION ASSISTED BY FORCEPS. AN ALTERNATIVE FOR ESD

Forceps-assisted hybrid resection (HF-EMR) can be a technically feasible alternative within the reach of all centers. We present the case of a 3 cm LST-G lesion (“non-lifting sign” in the centre) in hepatic flexure removed in block thanks to HF-EMR.

First, we perform the submucosal bean by injecting gelafundine solution, adrenaline 1:100,000 and indigocarmin. After this, we began to remove the entire contour of the lesion by cold avulsion with forceps . We then capture the polyp with the Captivator 30 mm braided oval handle and apply Endocut current (Effect 2) to achieve block resection of the lesion.