Feasibility of Autologous Fibrin Glue and Polyglycolic Acid Sheets to Prevent Delayed Bleeding after Endoscopic Submucosal Dissection of Gastric Neoplasms in Patients Receiving Antithrombotic Therapy

Figure 1

(a) Endoscopic view of the lesion. The lesion is located at the lesser curvature of the lower gastric body. (b) ESD ulcer. Visible blood vessels were coagulated using hemostasis forceps. (c) Polyglycolic acid (PGA) sheet was applied using biopsy forceps and fixed using clips. (d) Autologous fibrinogen and bovine thrombin solution were sprayed simultaneously to bond the PGA sheet. (e) Endoscopic view of ESD ulcer 1 day after ESD. (f) Endoscopic view of ESD ulcer 7 days after ESD. This patient was discharged from our hospital without any symptom of bleeding.

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