{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T16:10:29Z","timestamp":1778429429146,"version":"3.51.4"},"reference-count":47,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastrointestinal Endoscopy Clinics of North America"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.giec.2025.12.003","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:57:39Z","timestamp":1769086659000},"page":"321-336","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Use of Over-the-scope Clips to Close Perforations and Fistulas"],"prefix":"10.1016","volume":"36","author":[{"given":"Ashwariya","family":"Ohri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayank","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preeyati","family":"Chopra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navtej S.","family":"Buttar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.giec.2025.12.003_bib1","doi-asserted-by":"crossref","DOI":"10.1016\/j.bpg.2024.101936","article-title":"Multi-modality management of defects in the gastrointestinal tract: where the endoscope meets the scalpel","volume":"70","author":"Pouw","year":"2024","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"10.1016\/j.giec.2025.12.003_bib2","doi-asserted-by":"crossref","first-page":"85","DOI":"10.21037\/tgh.2018.10.09","article-title":"Endoscopic management of perforations, leaks and fistulas","volume":"3","author":"Singh","year":"2018","journal-title":"Transl Gastroenterol Hepatol"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib3","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1016\/j.gie.2020.12.048","article-title":"Minimally invasive endoscopic approaches to manage postsurgical leaks: time to recognize the finger in the dike","volume":"93","author":"Buttar","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2025.12.003_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.bpg.2024.101898","article-title":"Endoscopic management of surgical complications","volume":"69","author":"Goyal","year":"2024","journal-title":"Best Pract Res Clin Gastroenterol"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib5","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.gie.2007.01.034","article-title":"A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences","volume":"66","author":"Kirschniak","year":"2007","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib6","first-page":"92","article-title":"The study on stanch clips for the treatment by endoscopy","volume":"17","author":"Hayashi","year":"1975","journal-title":"Gastroenterol Endosc"},{"issue":"5","key":"10.1016\/j.giec.2025.12.003_bib7","doi-asserted-by":"crossref","first-page":"1844","DOI":"10.3748\/wjg.v22.i5.1844","article-title":"One hundred and one over-the-scope-clip applications for severe gastrointestinal bleeding, leaks and fistulas","volume":"22","author":"Wedi","year":"2016","journal-title":"World J Gastroenterol"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib8","doi-asserted-by":"crossref","first-page":"574","DOI":"10.5946\/ce.2019.122","article-title":"Endoscopic management with a novel over-the-scope padlock clip system","volume":"52","author":"Goenka","year":"2019","journal-title":"Clin Endosc"},{"issue":"12","key":"10.1016\/j.giec.2025.12.003_bib9","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1055\/s-0030-1255924","article-title":"\u201cSparing the surgeon\u201d: clinical experience with over-the-scope clips for gastrointestinal perforation","volume":"42","author":"Seebach","year":"2010","journal-title":"Endoscopy"},{"issue":"19","key":"10.1016\/j.giec.2025.12.003_bib10","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1056\/NEJMoa1010502","article-title":"Pneumatic dilation versus laparoscopic heller\u2019s myotomy for idiopathic achalasia","volume":"364","author":"Boeckxstaens","year":"2011","journal-title":"N Engl J Med"},{"issue":"6, Supplement","key":"10.1016\/j.giec.2025.12.003_bib11","doi-asserted-by":"crossref","first-page":"AB125","DOI":"10.1016\/j.gie.2020.03.1035","article-title":"Sa1239 per oral endoscopic myotomy (POEM): 10-year outcome from a large us referral center","volume":"91","author":"Modayil","year":"2020","journal-title":"Gastrointest Endosc"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib12","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.cgh.2012.02.005","article-title":"Efficacy of endoscopic closure of acute perforations of the gastrointestinal tract","volume":"10","author":"Voermans","year":"2012","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"4","key":"10.1016\/j.giec.2025.12.003_bib13","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.gie.2014.03.049","article-title":"International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects (with video)","volume":"80","author":"Haito-Chavez","year":"2014","journal-title":"Gastrointest Endosc"},{"issue":"10","key":"10.1016\/j.giec.2025.12.003_bib14","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1007\/s11695-010-0253-5","article-title":"The OTSC\u00ae-clip in revisional endoscopy against weight gain after bariatric gastric bypass surgery","volume":"21","author":"Heylen","year":"2011","journal-title":"Obes Surg"},{"issue":"4","key":"10.1016\/j.giec.2025.12.003_bib15","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1159\/000336509","article-title":"Endoscopic closure of iatrogenic gastrointestinal tract perforations with the over-the-scope clip","volume":"85","author":"Gubler","year":"2012","journal-title":"Digestion"},{"issue":"3","key":"10.1016\/j.giec.2025.12.003_bib16","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/s10388-014-0462-4","article-title":"Utility of the over-the-scope-clip system for treating a large esophageal perforation","volume":"12","author":"Ono","year":"2015","journal-title":"Esophagus"},{"issue":"11","key":"10.1016\/j.giec.2025.12.003_bib17","doi-asserted-by":"crossref","first-page":"E1044","DOI":"10.1055\/s-0043-111793","article-title":"Feasibility of esophageal stent fixation with an over-the-scope-clip for malignant esophageal strictures to prevent migration","volume":"5","author":"Watanabe","year":"2017","journal-title":"Endosc Int Open"},{"issue":"5","key":"10.1016\/j.giec.2025.12.003_bib18","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.gie.2022.06.001","article-title":"Comparison of no stent fixation, endoscopic suturing, and a novel over-the-scope clip for stent fixation in preventing migration of fully covered self-expanding metal stents: a retrospective comparative study (with video)","volume":"96","author":"Park","year":"2022","journal-title":"Gastrointest Endosc"},{"issue":"9","key":"10.1016\/j.giec.2025.12.003_bib19","doi-asserted-by":"crossref","first-page":"2901","DOI":"10.1007\/s00464-011-1640-2","article-title":"The over-the-scope clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas","volume":"25","author":"Kirschniak","year":"2011","journal-title":"Surg Endosc"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib20","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.gie.2012.03.250","article-title":"Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos)","volume":"76","author":"Baron","year":"2012","journal-title":"Gastrointest Endosc"},{"issue":"18","key":"10.1016\/j.giec.2025.12.003_bib21","doi-asserted-by":"crossref","first-page":"2752","DOI":"10.3748\/wjg.v19.i18.2752","article-title":"Efficacy and safety of over-the-scope clip: including complications after endoscopic submucosal dissection","volume":"19","author":"Nishiyama","year":"2013","journal-title":"World J Gastroenterol"},{"issue":"2","key":"10.1016\/j.giec.2025.12.003_bib22","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1007\/s00464-014-3725-1","article-title":"Complete closure of artificial gastric ulcer after endoscopic submucosal dissection by combined use of a single over-the-scope clip and through-the-scope clips (with videos)","volume":"29","author":"Maekawa","year":"2015","journal-title":"Surg Endosc"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib23","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1111\/den.12482","article-title":"Endoscopic clips for the closure of acute iatrogenic perforations: where do we stand?","volume":"27","author":"Y\u0131lmaz","year":"2015","journal-title":"Dig Endosc"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib24","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1186\/s12876-019-1139-1","article-title":"Clinical outcomes of iatrogenic upper gastrointestinal endoscopic perforation: a 10-year study","volume":"19","author":"Kang","year":"2019","journal-title":"BMC Gastroenterol"},{"issue":"2","key":"10.1016\/j.giec.2025.12.003_bib25","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/den.12104","article-title":"Delayed perforation: a hazardous complication of endoscopic resection for non-ampullary duodenal neoplasm","volume":"26","author":"Inoue","year":"2013","journal-title":"Dig Endosc"},{"issue":"2","key":"10.1016\/j.giec.2025.12.003_bib26","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00000658-200008000-00007","article-title":"Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy","volume":"232","author":"Stapfer","year":"2000","journal-title":"Ann Surg"},{"issue":"11","key":"10.1016\/j.giec.2025.12.003_bib27","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1016\/j.cgh.2021.06.045","article-title":"AGA clinical practice update on endoscopic management of perforations in gastrointestinal tract: expert review","volume":"19","author":"Lee","year":"2021","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib28","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1177\/1756283X14540223","article-title":"An \u2019omental patch\u2019 created during over-the-scope clipping completely sealed a duodenal perforation after endoultrasonography","volume":"7","author":"Mangiavillano","year":"2014","journal-title":"Therapeut Adv Gastroenterol"},{"issue":"10","key":"10.1016\/j.giec.2025.12.003_bib29","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1016\/j.cgh.2015.02.010","article-title":"Endoscopic management of gastrointestinal leaks and fistulae","volume":"13","author":"Willingham","year":"2015","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"8","key":"10.1016\/j.giec.2025.12.003_bib30","first-page":"452","article-title":"Endoscopic management of gastrointestinal fistulae","volume":"10","author":"Kumar","year":"2014","journal-title":"Gastroenterol Hepatol"},{"issue":"08","key":"10.1016\/j.giec.2025.12.003_bib31","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1055\/a-2019-3652","article-title":"Endoscopic management of gastrointestinal wall defects, fistula closure, and stent fixation using through-the-scope tack and suture system","volume":"55","author":"Krishnan","year":"2023","journal-title":"Endoscopy"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib32","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1111\/jgh.14402","article-title":"Over-the-scope clip system: a review of 1517 cases over 9 years","volume":"34","author":"Kobara","year":"2019","journal-title":"J Gastroenterol Hepatol"},{"issue":"6","key":"10.1016\/j.giec.2025.12.003_bib33","doi-asserted-by":"crossref","first-page":"2690","DOI":"10.1007\/s00464-019-07030-3","article-title":"Over-the-scope clip management of non-acute, full-thickness gastrointestinal defects","volume":"34","author":"Morrell","year":"2019","journal-title":"Surg Endosc"},{"issue":"7","key":"10.1016\/j.giec.2025.12.003_bib34","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1007\/s00464-014-3860-8","article-title":"Immediate technical and delayed clinical outcome of fistula closure using an over-the-scope clip device","volume":"29","author":"Law","year":"2015","journal-title":"Surg Endosc"},{"issue":"1","key":"10.1016\/j.giec.2025.12.003_bib35","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/den.12295","article-title":"Usefulness of over-the-scope clipping system for closing digestive fistulas","volume":"27","author":"Mercky","year":"2015","journal-title":"Dig Endosc"},{"issue":"11","key":"10.1016\/j.giec.2025.12.003_bib36","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1055\/s-0034-1392262","article-title":"Endoscopic treatment of fistula after sleeve gastrectomy: results of a multicenter retrospective study","volume":"47","author":"Christophorou","year":"2015","journal-title":"Endoscopy"},{"issue":"2","key":"10.1016\/j.giec.2025.12.003_bib37","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1007\/s10620-016-4390-0","article-title":"Endoscopic management of esophagorespiratory fistulas: a multicenter retrospective study of techniques and outcomes","volume":"62","author":"Silon","year":"2016","journal-title":"Dig Dis Sci"},{"issue":"9","key":"10.1016\/j.giec.2025.12.003_bib38","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.3748\/wjg.v23.i9.1645","article-title":"Outcomes of gastrointestinal defect closure with an over-the-scope clip system in a multicenter experience: an analysis of a successful suction method","volume":"23","author":"Kobara","year":"2017","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.giec.2025.12.003_bib39","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/381873","article-title":"Clinical application and outcomes of over the scope clip device: initial US experience in Humans","volume":"2013","author":"Jayaraman","year":"2013","journal-title":"Diagn Ther Endosc"},{"issue":"11","key":"10.1016\/j.giec.2025.12.003_bib40","doi-asserted-by":"crossref","first-page":"6305","DOI":"10.1007\/s00464-024-11166-2","article-title":"Over-the-scope clip for closure of persistent gastrocutaneous fistula after gastrostomy tube removal: a multicenter pediatric experience","volume":"38","author":"Corsello","year":"2024","journal-title":"Surg Endosc"},{"issue":"2","key":"10.1016\/j.giec.2025.12.003_bib41","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4253\/wjge.v9.i2.85","article-title":"Over-the-scope-clip closure of long lasting gastrocutaneous fistula after percutaneous endoscopic gastrostomy tube removal in immunocompromised patients: a single center case series","volume":"9","author":"Heinrich","year":"2017","journal-title":"World J Gastrointest Endosc"},{"issue":"4","key":"10.1016\/j.giec.2025.12.003_bib42","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1756283X15578603","article-title":"Endoscopic closure of persistent gastrocutaneous fistulae, after percutaneous endoscopic gastrostomy (PEG) tube placement, using the over-the-scope-clip system","volume":"8","author":"Singhal","year":"2015","journal-title":"Therapeut Adv Gastroenterol"},{"issue":"3","key":"10.1016\/j.giec.2025.12.003_bib43","doi-asserted-by":"crossref","first-page":"361","DOI":"10.5946\/ce.2019.106","article-title":"Successful closure of a benign refractory tracheoesophageal fistula using an over-the-scope clip after failed esophageal stent placement and surgical management","volume":"53","author":"Pausawasdi","year":"2020","journal-title":"Clin Endosc"},{"issue":"4","key":"10.1016\/j.giec.2025.12.003_bib44","article-title":"Successful closure of a tracheoesophageal fistula using an over-the-scope clip","volume":"15","author":"Ali","year":"2023","journal-title":"Cureus"},{"key":"10.1016\/j.giec.2025.12.003_bib45","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108038","article-title":"Hybrid management with graham patch repair assisted with an OVESCO endoscopic system for a Post-Nissen fundoplication gastric fistula: a case report","volume":"105","author":"Palacios Gord\u00f3n","year":"2023","journal-title":"Int J Surg Case Rep"},{"issue":"5","key":"10.1016\/j.giec.2025.12.003_bib46","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.gie.2024.10.001","article-title":"Adverse events of the endoscopic over-the-scope clips and cutters: a manufacturer and user facility device experience database analysis","volume":"101","author":"Telbany","year":"2024","journal-title":"Gastrointest Endosc"},{"issue":"8","key":"10.1016\/j.giec.2025.12.003_bib47","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1016\/j.gastha.2023.07.004","article-title":"Conventional clips vs over-the-scope clips for mucosal defects closure after duodenal endoscopic submucosal dissection","volume":"2","author":"Jinushi","year":"2023","journal-title":"Gastro Hep Advances"}],"container-title":["Gastrointestinal Endoscopy Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515725000972?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515725000972?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T14:50:43Z","timestamp":1774709443000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1052515725000972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1052515725000972"],"URL":"https:\/\/doi.org\/10.1016\/j.giec.2025.12.003","relation":{},"ISSN":["1052-5157"],"issn-type":[{"value":"1052-5157","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Use of Over-the-scope Clips to Close Perforations and Fistulas","name":"articletitle","label":"Article Title"},{"value":"Gastrointestinal Endoscopy Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.giec.2025.12.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}