A 59-year-old man underwent EMR of a 1-cm sessile polyp at the gastric antrum. He had a history of coronary artery disease, chronic kidney disease (creatinine, 460 μmol/L), and compensated liver cirrhosis (platelet count, 144 × 109/L; prothrombin time, 14 s; international normalized ratio, 1.35). He took clopidogrel, which was discontinued 1 week before EMR. We used the inject-and-cut EMR technique and injected the submucosa with 5 mL of saline solution. A small nonexpanding purplish bulge developed after injection (A).