Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Review

World J Gastrointest Endosc. Dec 16, 2025; 17(12): 111782
Published online Dec 16, 2025. doi: 10.4253/wjge.v17.i12.111782

Table 1 Characteristics of available through the scope clips

Clip	Manufacturer	Opening diameter (mm)	Jaw length (mm)	Stem length (mm)	Material	Rotation
Resolution 360	Boston Scientific; United States	11 and 17	9	7	Stainless steel, Cobalt	360°
Instinct¹	Cook Medical; United States	11 and 16	9	6	Stainless steel, Nitinol	Scope position dependent
Quick clip pro¹^,²	Olympus Medical; Japan	11	10	5	Elgiloy	Scope position dependent
Dura clip	ConMed; United States	11 and 16	7	3	Stainless steel	360°
Sure clip	Micro-Tech Endoscopy; United States	8, 11 and 16	11	3	Stainless steel	360°
Medorah	Medorah Meditek; India	11, 13 and 16	9	3	Stainless steel	360°

¹Highest compression strength.

²Highest lateral tissue manipulation strength.

Citation: Birda CL, Dhar J, Kumar N, Mishra S, Dell'Anna G, Tandup C, Nagaraj SS, Crinò SF, Mitra V, Nabi Z, Samanta J. Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes. World J Gastrointest Endosc 2025; 17(12): 111782
URL: https://www.wjgnet.com/1948-5190/full/v17/i12/111782.htm
DOI: https://dx.doi.org/10.4253/wjge.v17.i12.111782

Birda CL, Dhar J, Kumar N, Mishra S, Dell'Anna G, Tandup C, Nagaraj SS, Crinò SF, Mitra V, Nabi Z, Samanta J. Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes. World J Gastrointest Endosc 2025; 17(12): 111782 [PMID: 41479933 DOI: 10.4253/wjge.v17.i12.111782]

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