Over-the-scope clip to close a gastrocutaneous fistula after esophagectomy

Figure 4 Gastric fistula was successfully closed with the 11/6t OTSC system. A: The gastric aspect of the fistula was successfully closed using over-the-scope clip; B: A follow-up endoscopy on 21 d after over-the-scope clip placement found the over-the-scope clip was still in place and the fistula was sealed successfully; C: Closure of the fistula was confirmed by the inability to leak Omnipaque through the stomach to fistula.