A novel endoscopic electrocoagulation hemostasis technique for uncontrolled intraprocedural bleeding: series connection of foreign body forceps and hemostatic forceps

Intraprocedural bleeding is unavoidable during endoscopic procedures [1] [2]. Minor bleeding from small vessels can typically be managed with an electric knife, while significant bleeding from larger vessels requires the use of hemostatic forceps [3] [4]. In cases of uncontrollable severe bleeding, clips can be used as rescue treatment, but their use may impede subsequent procedures. Here, we introduce a method using foreign body forceps and hemostatic forceps to achieve hemostasis for emergency massive bleeding during endoscopic full-thickness resection (EFTR).