Effectiveness of clip-and-snare method using pre-looping technique for gastric endoscopic submucosal dissection

Figure 2 Pushing and pulling by the clip-and-snare method. A: Clip-and-snare method using pre-looping technique (CSM-PLT) for a tumor located on the greater curvature of the middle third of the stomach; B: The endoscopist is able to obtain good visibility of the submucosal layer by pulling the snare; C: CSM-PLT was performed for another tumor located on the anterior wall of the middle third of the stomach; D: The endoscopist is able to obtain good visibility of the submucosal layer by pushing the snare (yellow arrowheads).