Evaluating long-term attachment of two different endoclips in the human gastrointestinal tract

Figure 1 Treatment plan: Patients first receive external beam radiotherapy followed by high dose rate brachytherapy. EBRT: external beam radiotherapy; HDRBT: high dose rate brachytherapy.

Figure 2 Depicts the endorectal applicator (Oncosmart^®, Nucletron, Veenendaal, the Netherlands) used to apply High Dose Rate Brachytherapy.

Figure 3 Imaging of the endoclips. A: Shows endoscopic images of an attached Resolution clip on the left (with a recognizable silver part at the loose end) and 2 attached Quickclips on the right (with a recognizable silver part at the center of the clip); B: Shows a fluoroscopic image as made for HDRBT planning purposes and in between HDRBT fractions. Four Quickclips are still attached (arrows).