PMC10397489_01
Early gastric cancer not indicated for endoscopic treatment is found on the posterior wall of the stomach.
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EGD was performed to obtain a detailed evaluation of the posterior wall lesion, which revealed that the lesion was not suitable for endoscopic treatment (Figure 1).
Since several hemostatic clips are used, identifying the bleeding points is difficult.
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We attempted to achieve hemostasis using clips, but the bleeding point shifted as more clips were added, which resulted in multiple hemostatic clips (Figure 2).
(a) A dedicated catheter is used to apply PuraStat to the approximate bleeding site. (b) Primary hemostasis is confirmed.
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PuraStat over the approximate bleeding site (Figure 3(a)). Primary hemostasis was confirmed (Figure 3(b)).
Endoscopic findings 2 hours after PuraStat application. The whitened gel remains intact, and complete hemostasis is achieved.
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Although we rinsed the gel with a water jet, the white-turning PuraStat gel remained firmly in the applied area, confirming that complete hemostasis had been achieved (Figure 4).