Novel technique for endoscopic en bloc resection (EMR+) - Evaluation in a porcine model

Figure 1 Illustration of AWC^®. Distal and proximal site uninstalled (A) and installed (B). C: Fully installed AWC^® with advanced grasp and snare device.

Figure 2 Ex vivo model. A: Opened pig stomach; B: Circular coagulation; C: Stomach connected to EASIE-R1 simulator.

Figure 3 Illustration of endoscopic mucosal resection. A: Submucosal injection; B: Positioning of anchor device and snare; C: Lesion is pulled with anchor device and snare is closed; and D: Lesion is pushed back (“Push Back maneuver”) and snare fully closed. Lesion is ready for resection.

Figure 4 Example of endoscopic mucosal resection specimens (ex vivo model).

Figure 5 Example of endoscopic mucosal resection specimens (in vivo model).