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

Figure 8 Closure of post-endoscopic submucosal dissection defect of gastric subepithelial lesion using X-Tack™ endoscopic HeliX tacking system. A: Application of the first tack at the apex of the defect; B: Second tack applied along the left margin of the defect; C: Two tacks placed with continuous suture line visible; D: Third tack applied along the right margin of the defect and traction on the suture line to oppose the margin; E: Fourth tack applied at the proximal margin of the defect; F: Suture cinch being applied to close the defect.