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

Figure 1 Closure of gastric endoscopic submucosal dissection defect using mantis clips. A: Image of mantis clip showing anchor prongs; B: Mantis clip anchored to one edge of the distal part of a large post-endoscopic submucosal dissection gastric defect; C: The margin is pulled by clip for apposition and applied to the opposite margin; D: Second clip being anchored to defect margin; E: Margin mobilized and clip being applied to oppose the two margins; F: Multiple clips applied to completely close the defect.