Endoscopic hand suturing significantly reduces postoperative bleeding risk.

A multicenter phase II study demonstrates that endoscopic hand suturing (EHS) effectively reduces the postoperative bleeding rate to 7% in patients undergoing gastric endoscopic submucosal dissection while on antithrombotic agents. Out of 43 patients analyzed, the EHS method achieved a 100% technical success rate and an 83% closure maintenance rate on day 3 post-operation, with no severe adverse events reported. These findings indicate EHS’s potential as a safe intervention to mitigate bleeding risks.