Multipurpose use of the over-the-scope-clip system (“Bear claw”) in the gastrointestinal tract: Swiss experience in a tertiary center

Figure 1 Case number 21 with fistula. A: Fistula between descending colon and rectum after surgery. Cap and loaded over-the-scope-clip (OTSC) visible; B: Fistula closed with OTSC.

Figure 2 Indications for over-the-scope-clip application in 21 patients.

Figure 3 Case number 18 with submucosal gastric tumor. A: Submucosal gastric tumor, the clip was applied three months ago due to a bleeding after biopsy; B: Incision, unroofing, and biopsy of the yellowish tumor with a radial jaw (later histopathology indicated it was a lipoma); C: Closure of the resected area with over-the-scope-clip.