Effective Hemostasis with Double-Balloon Rectal Catheter for Uncontrolled Bleeding During Endoscopic Mucosal Resection of Large Rectal Neoplasms

Endoscopic mucosal resection (EMR) is a standard treatment for intramucosal colorectal neoplasms. Bleeding is one of the common complications of EMR [1] [2]. Bleeding is often stopped using hemoclips [3], soft coagulation with hemostatic forceps [4], and hypertonic saline–epinephrine injection [5], but it may be difficult to locate the bleeding vessel if the bleeding is continuous or massive.