Polyglycolic Acid Felt Sealing Method for Prevention of Bleeding Related to Endoscopic Submucosal Dissection in Patients Taking Antithrombotic Agents

Figure 2

Case 2: endoscopic view of ESD of a 73-year-old woman with early rectal cancer under heparin replacement and PGA felt (5 cm × 5 cm) and fibrin glue sealing method.

(a) Early rectal cancer

(b) An artificial ulcer after rectal ESD

(c) PGA felt fastened with clips at the edges of the post-ESD ulcer (1)

(d) PGA felt fastened with clips at the edges of the post-ESD ulcer (2)

(e) Fibrin glue formed

(f) Abdominal X-ray, 7 days later