Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Endosc. Sep 16, 2026; 18(9): 124149
Published online Sep 16, 2026. doi: 10.4253/wjge.124149
Published online Sep 16, 2026. doi: 10.4253/wjge.124149
Sprayed tissue adhesive prevents post-endoscopic submucosal dissection bleeding in massive early gastric cancer: A case report
Yi-Ming Chen, Zheng-Lei Xu, Li-Sheng Wang, Zhi-Yuan Zou, Department of Gastroenterology, Shenzhen People’s Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen 518020, Guangdong Province, China
Author contributions: Chen YM collected clinical data and drafted the manuscript; Zou ZY and Xu ZL performed gastric ESD procedures; Wang LS critically revised the manuscript; and all authors have read and approved the final version.
AI contribution statement: We used DeepSeek for language polishing and formatting only. No AI tool was used for data analysis, result interpretation, or conclusion drawing. All content was reviewed and finalized by the authors, who bear full responsibility.
Supported by Sanming Project of Medicine in Shenzhen, No. SZSM202211029.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Zhi-Yuan Zou, Department of Gastroenterology, Shenzhen People’s Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), No. 1017 Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong Province, China. 576517769@qq.com
Received: June 9, 2026
Revised: August 4, 2026
Accepted: August 26, 2026
Published online: September 16, 2026
Processing time: 94 Days and 16.3 Hours
Revised: August 4, 2026
Accepted: August 26, 2026
Published online: September 16, 2026
Processing time: 94 Days and 16.3 Hours
Core Tip
Core Tip: Sprayed tissue adhesive effectively prevents post-endoscopic submucosal dissection bleeding in massive early gastric cancer with extensive mucosal defects, where clipping is infeasible. It is simple, covers large areas, and may be used as an adjunct or rescue therapy for refractory bleeding.