Endoscopic full-thickness resection with use of the over-the-scope clip: a word of caution!

In the recent article "Over-the-scope clip-assisted endoscopic full-thickness resection of epithelial and subepithelial GI lesions." by Al-Bawardy et al,1 the authors describe an elegant and simple approach in obtaining endoscopic full-thickness resection (EFTR) using the over-the-scope clip (OTSC) for both definitive diagnosis and potential curative treatment of lesions involving any layer of the GI wall. In that case series, there were no reported adverse events. Similarly, several other case series describing the use of OTSCs reported no adverse events.

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