ESD with double clips and rubber band traction of neoplastic lesions developed in the appendiceal orifice is effective and safe. - Oung B; Rivory J; Chabrun E; Legros R; Faller J; Léger-Nguyen F; Rostain F; Ber CE; Hervieu V; Saurin JC; Ponchon T; Jacques J; et al. (Endoscopy international open, 2020)