Gastric endoscopic submucosal dissection as a treatment for early neoplasia and for accurate staging of early cancers in a United Kingdom Caucasian population

Figure 4 The appearance of the stomach wall on endoscopic follow-up of the patient in which endoscopic submucosal dissection had to be aborted twice due to profuse bleeding. The patient had a high INR and was a poor candidate for ESD at baseline but co-morbidities precluded surgery in his case. Note the 2 metachronous malignant sessile polyps Paris 2a and the marked mucosal friability evident from bleeding. ESD: Endoscopic submucosal dissection.