Fig. 3. (A) One of the lateral edges of the perforation was grasped using one arm of the Over-The-Scope Clip (OTSC) Twin Grasper (Ovesco Endoscopy AG, Germany). (B) The other opposing edge of the perforation was grasped using the second arm of the OTSC Twin Grasper to bring the two sides of the perforation into complete contact. (C) The reapposed tissue was pulled into the OTSC cap. (D) The OTSC was released by turning a wheel on the shaft of the endoscope.

Gastrointestinal Intervention 2017;6:157~161 https://doi.org/10.18528/gii170016

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