Nonexposed Muscular Layer Clipping Within a Submucosal Pocket Using a 20‐mm Reopenable Clip for Gastric Endoscopic Muscular Dissection

Key Points

• The aim is to assess the feasibility and effectiveness of nonexposed muscular layer clipping during gastric endoscopic muscular dissection.
• Used a 20-mm reopenable clip for muscular layer clipping within a submucosal pocket.
• Conducted a randomized trial to compare outcomes with traditional methods.
• Followed patients for surgical outcomes and complications.
• Demonstrated successful muscular layer clipping in all cases with no significant complications reported.
• Achieved favorable outcomes and shorter recovery time compared to traditional methods.