Advancements in endoscopic closure: Embracing a new era of managing complications and postprocedural defects after endoscopic submucosal dissection

Table 9 Indications for through-the-scope clips

Number	Indications for TTS clips
1	Endoscopic marking
2	Hemostasis for: Mucosal/sub-mucosal defects < 3 cm, bleeding ulcers, arteries < 2 mm, polyps < 1.5 cm in diameter, diverticula in the colon, prophylactic clipping to reduce the risk of delayed bleeding post lesion resection
3	Anchoring to affix jejunal feeding tubes to the wall of the small bowel
4	Anchoring to affix fully covered esophageal self-expanding metal stents to the wall of the esophagus in patients with fistulas, leaks, perforations, or disunion
5	As a supplementary method, closure of GI tract luminal perforations < 20 mm that can be treated conservatively

TTS: Through-the-scope; GI: Gastrointestinal.