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The mean distance of eye movement was significantly shorter in the DRI group than in the WLI group for all endoscopists. Conclusions DRI can offer useful images that can help in clearly detecting bleeding points and in facilitating hemostasis during ESD. It is feasible and may help in successfully performing ESD that is safer and faster than WLI.Objective The aims of the study were to evaluate the influence of hemodynamic status on pressure artifacts and the impact of pressure artifacts on microcirculatory flow. Methods Sublingual micr