Volume 1, Issue 3, Pages 49-50 (November 2016) Line-assisted complete closure of large gastric mucosal defects by use of multiple clip- and-line technique  Yasushi Yamasaki, MD, Yoji Takeuchi, MD, Minoru Kato, MD, Noriya Uedo, MD, Ryu Ishihara, MD  VideoGIE  Volume 1, Issue 3, Pages 49-50 (November 2016) DOI: 10.1016/j.vgie.2016.08.008 Copyright © 2016 The Authors Terms and Conditions

Figure 1 A, EGD view showing a slightly depressed 12-mm lesion at the fornix of the stomach. B, A 40-mm gastric mucosal defect after ESD. C, Attachment of the first clip-and-line to normal mucosa on the proximal side of the mucosal defect. D, After gathering of both sides of the defect, attachment of additional clips to close the defect. E, Complete closure of the large gastric mucosal defect, taking about 20 minutes in all. F, Attachment of most clips to the area of the defect 1 month after ESD. G, EGD view showing a 20-mm submucosal tumor at the fornix of the stomach. H, Large intraoperative perforation. I, Complete closure of the large perforation by line-assisted complete closure by use of multiple clip-and-line technique, taking about 18 minutes in all. ESD, endoscopic submucosal dissection. VideoGIE 2016 1, 49-50DOI: (10.1016/j.vgie.2016.08.008) Copyright © 2016 The Authors Terms and Conditions