Management and associated factors of delayed perforation after gastric endoscopic submucosal dissection

Figure 1 A superficial depressed early gastric cancer lesion located at the greater curvature of the upper gastric body of the gastric tube.

Figure 2 Mucosal defect just after the completion of endoscopic submucosal dissection (60 mm in size and half circumference).

Figure 3 A delayed perforation occurred 7 h after endoscopic submucosal dissection.

Figure 4 The delayed perforation was successfully closed using the endoloop-endoclip technique.

Figure 5 The delayed perforation had almost completely healed 15 d after endoscopic submucosal dissection.