Technical Review on Endoscopic Treatment Devices for Management of Upper Gastrointestinal Postsurgical Leaks

Figure 4

Endoscopic image of a 3 mm leak orifice after total gastrectomy (a), closed with a 12 mm over-the-scope clip (OTSC) after retracting the tissue margins with an anchoring device and suction of the defect into the applicator cap (b, c). Fluoroscopic image showing OTSC correctly placed, without leakage (d).

(a)

(b)

(c)

(d)