Accurate hemostasis with a new endoscopic overtube for emergency endoscopy

Figure 2 Outer appearance and procedures of using the inverted overtube. A: Outer appearance of the inverted overtube; B: Switching the patient from the conventional left lateral decubitus position to the right lateral decubitus position using the inverted overtube to dislodge blood clots during emergency endoscopic hemostasis; C: Insertion of the endoscope into the stomach through the inverted overtube in the right lateral decubitus position; D: Continuous aspiration from the bottom of the box (yellow arrow) enabled massive blood clots to be eliminated from the overtube, which maintained a clear endoscopic view during hemostasis.