Endoscopic full-thickness resection in the rectum closed with PolyLoop-and-clips method using single-channel endoscope

Endoscopic submucosal dissection (ESD) allows en bloc resection regardless of tumor size. It is an effective but technically demanding procedure, with perforation rates of about 5 % [1]. Nevertheless, the safety profile is adequate, because almost all ESD complications can be managed endoscopically and the risk of surgery related to post-ESD complications (1 %) is low [2]. The European Society of Gastrointestinal Endoscopy recommends the use of...