Fig. 2. Patient with recent complete sleeve gastrectomy leak. An over-the-scope clip (OTSC) was placed with fully covered self-expandable metallic stents (SEMS) over the clip. (A) Endoscopic view with gastric fistula and drain. (B) Endoscopic view of follow-up endoscopy with OTSC wing protruding through SEMS. (C, D) Remaining OTSC at leak site after SEMS removal. No leak was seen endoscopically.
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