Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure

Figure 1 Endoscopic band ligation in iatrogenic gastric wall perforation. A: Endoscopic view of endoscopic mucosal resection with ligation (EMR-L) due to gastric adenoma on the greater curvature of the upper gastric body; B: Iatrogenic gastric wall perforation following EMR-L; C: Primary endoscopic band ligation (EBL) was successful following technical difficulty with endoclip closure; D: Additional clips were applied around the band and surrounding mucosa; E: Follow-up endoscopy 1 d later shows band and multiple clips, with no complication; F: Endoscopic view 1 mo after EBL, showing the absence of the band and clips.

Figure 2 Endoscopic band ligation in iatrogenic ulcer base perforation following endoscopic biopsy. A: Iatrogenic gastric ulcer base perforation following biopsy (arrow); B: The fibrotic ulcer base made endoscopic clipping difficult; C: Successful endoscopic band ligation following technical difficulty with endoclip closure; D: Endoscopic view 2 wk later, showing the healed base of ulcer with remaining bands.