Endoscopic suturing system is the last chance for rectal bleeding after complicated endoscopic submucosal dissection

We report the case of a 54-year-old woman who underwent endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor (LST) of the mid-proximal rectum ([Fig. 1]). The ESD was complicated by intraoperative bleeding from visible vessels of the defect. Use of hemostatic forceps (Coagrasper) and endoclip placement led to resolution of the bleeding ([Fig. 2]).