Endoscopic submucosal dissection for premalignant lesions and noninvasive early gastrointestinal cancers

Figure 1 Endoscopic submucosal dissection procedure for adenoma with high grade dysplasia at antrum. A: Endoscopic view flat adenoma at antrum; B: Cutting of the first piece of the lesion which was decided to be extracted in two pieces; C: Submucosal dissection of the first piece; D: Cutting of the second piece of the lesion; E: Submucosal dissection of the second piece; F: Endoscopic view after the lesion is being extracted; G: Microscopic view of the lesion; H: Histology; Adenoma including fields of marked glandular atypia and distortion (HE × 20); I: Endoscopic view ten weeks after the procedure.