A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand

Figure 1

Endoscopic submucosal dissection (ESD) procedure. (a) Endoscopic view of 28 mm 0-IIa lesion at lesser curvature, lower part of the stomach. (b) Narrow band imaging. (c) Demarcation line (red arrow) with abnormal microvascular and microsurface by magnified endoscopy. (d) Chromoendoscopy with indigo carmine dye. (e) Completed circumferential endoscopic marking for resection margin of lesion. (f) Endoscopic mucosal incision and submucosal dissection. (g) A submucosal vessel was identified (yellow arrow) and hemostasis by Coagrasper hemostatic forceps. (h) Resection area after dissection and hemostasis. (i) Resected specimen of gastric lesion.

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