Although the search, coagulation, and clipping (SCC) technique has been shown to be more effective than the post-endoscopic submucosal dissection (ESD) coagulation method in reducing delayed bleeding (DB) after gastric ESD [1], it does not entirely eliminate risk of DB. Applying large-sized clips during clipping may reduce the size of the mucosal defect, which could potentially promote ulcer healing and thereby lead to more efficient prevention of DB. Prevention of DB using the SCC with the shrink (SCC-S) method is reported here.

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Bibliographical Record
Satoshi Abiko, Yukiko Okada, Kazuki Yamamoto, Yohei Nishikawa, Ippei Tanaka, Haruhiro Inoue, Naoya Sakamoto. Search, coagulation, and clipping with the shrink method to minimize ulcer base and prevent delayed bleeding after gastric endoscopic resection. Endosc Int Open 2025; 13: a27340575.
DOI: 10.1055/a-2734-0575