Outcomes of gastrointestinal defect closure with an over-the-scope clip system in a multicenter experience: An analysis of a successful suction method

Figure 5 Representative case with an over-the-scope clips complication. A: A delayed perforation with a 50-mm defect size after gastric endoscopic submucosal dissection; B: The misplacement of the over-the-scope clips to the exposed muscularis propria induced additional tears (black arrows); C: The defect could not be closed by the Twin Grasper due to a narrow lumen located in the prepylorus.