Multibend endoscope facilitates endoscopic hemostasis for bleeding gastric ulcer at high lesser curvature.

Bleeding peptic ulcer located high at a lesser curvature is one of the factors that predicted the failure of endoscopic therapy. One of the reasons is the technical difficulty in targeting the bleeding point over a gastric ulcer located high at a lesser curvature. A multibend endoscope was initially developed to facilitate the performance of an endoscopic submucosal dissection over difficult positions, including lesser curvature and cardia of the stomach. In this paper, we report 3 cases of difficult hemostasis for an ulcer located at a high lesser curvature where a novel multibending endoscope was employed to facilitate the endoscopic therapy.