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

Figure 2 Closure of post-endoscopic submucosal dissection perforation of a duodenal neuroendocrine tumor using endoscopic clip-and-loop technique (King’s closure). A: Clip applied to fix the loop along the defect margin; B: Multiple clips being applied; C: Clips along the defect margin holding the loop; D: Final clip applied at the proximal defect margin; E: Loop applicator being applied to the loop end for closure; F: Loop applied with defect closure.