Sprayed tissue adhesive prevents post-endoscopic submucosal dissection bleeding in massive early gastric cancer: A case report

Figure 1 Endoscopy images during endoscopic submucosal dissection. A: After spraying indigo rouge, the stain on the lesion is obvious and the edge of the lesion is clear; B: Intraoperative marking showed that the lesion extended from the posterior wall and lesser curvature of the lower gastric body to the gastric angulus and gastric antrum; C and D: Under the traction and assistance of titanium clips, the submucosal lesion was completely removed by endoscopic submucosal dissection; E: Spraying tissue adhesive onto the surface of the resection defect to prevent postoperative bleeding; F: Complete resection of the lesion, about 60 mm × 100 mm in size.