Endoscopic mucosal resection with double band ligation versus endoscopic submucosal dissection for small rectal neuroendocrine tumors

Figure 1 Utilizing Endoscopic mucosal resection with double band ligation to remove the rectal neuroendocrine tumors. A: Endoscopy showing a rectal neuroendocrine tumors; B: Marking dots were made approximately 2-3 mm on the lesion with an electric snare tip; C: When the lesion was sucked into the ligating device, the first band was deployed to ligate the lesion; D: The second band was deployed below the first one after endoscopic suctioning of the tumor into the cap; E: The resection of the lesion was performed via electrocautery below the second band; F: Wound after resection; G: The wound was closed with clips; H: Endoscopic resection of the intact tumor and the fully flattened specimen.

Figure 2 Pathological examination reveals a grade 1 neuroendocrine tumors with negative vertical and lateral margins.