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Case report describes successful removal of an over-the-scope clip using balloon dilation, indicating an alternative technique for gastrointestinal complications.
Over-the-scope (OTS) clips have revolutionized the management of gastrointestinal perforations, ulcers, and fistulas [1]. In some cases, removing these clips is necessary, but due to their strong grip, typical forceps often fail. There is a dedicated device for removal, but it can be difficult to obtain. Various alternative techniques have been described, such as plasma argon coagulation, endoscopic submucosal dissection (ESD) or yttrium aluminum garnet crystal (YAG) laser [2]. Here we describe the case of an OTS clip removed using hydrostatic balloon dilation.
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Lambin et al. (2025) studied this question.
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