# Emergency Endoscopic Hemostasis Using the Endoscopic Mucosal Resection Technique for Severe Bleeding From Early Gastric Cancer: A Case Report

## TL;DR

This case report shows that endoscopic mucosal resection can effectively stop severe bleeding from early gastric cancer.

## Contribution

The report highlights the under-recognized use of EMR for emergency hemostasis in gastric cancer bleeding.

## Key findings

- EMR was successfully used to achieve hemostasis in a patient with severe gastric cancer bleeding.
- The patient was discharged without rebleeding after the procedure.
- This case supports EMR as a viable emergency endoscopic hemostasis method.

## Abstract

Bleeding from gastric cancer may lead to severe anemia and hypovolemic shock, and can be a life-threatening condition in affected patients; thus, achieving hemostasis is essential to improving their clinical course. While endoscopic hemostasis is recommended as the hemostatic modality of first choice, endoscopic hemostasis involving the endoscopic mucosal resection (EMR) technique is also being used, though under-reported. An 85-year-old man diagnosed with bleeding from gastric cancer was raced to our hospital for hemostasis. Emergency esophagogastroduodenoscopy (EGD) revealed a 45 mm-sized elevated lesion involving the coagula due to dripping bleeding from the surface of the posterior wall of the gastric lower body. EMR was performed without any technical difficulty, and hemostasis was achieved immediately. The patient was discharged without rebleeding. This case appears to support the usefulness of EMR as an emergency endoscopic hemostatic modality for severe bleeding from early gastric cancer.