Management of bleeding and artificial gastric ulcers associated with endoscopic submucosal dissection

Figure 2 Hemostatic procedure for endoscopic submucosal dissectionintraoperative bleeding using hemostatic forceps. A: Pulsatile bleeding is observed during submucosal dissection; B: By filling the tip attachment with water, the bleeding point can be pinpointed and identified; C: After identifying the bleeding point, the vessel is securely grasped by hemostatic forceps, and thermo-coagulation is performed; D: Complete hemostasis is achieved, without excessive coagulation.