A MODIFICATION OF THE CLIP-FLAP TECHNIQUE: THE CLIP-BAND-FLAP TECHNIQUE

The clip-flap technique was described to facilitate the creation of a mucosal flap in colorectal ESD. Its main utility is at the beginning of ESD, facilitating the submucosal access. The clip-band technique has been used in gastric and colorectal ESD. The second clip is used to clamp the band, and it is attached on to the normal mucosa distal or opposite to the resection site. This clip is only applied after having completed the circumferential incision. Here we present the clip-band-flap technique for the resection of LST-NG pseudodepressed lesion JNET2B with the two stage traction applied in a sequential fashion.