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Updated: Apr 1, 2026

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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Inadvertent Ampullary Closure Following Duodenal Ulcer Treatment with an Over-the-Scope Clip
Hamza Almusabeh1, Joseph Simmons2, Khaled Elfert2
1Department of Internal Medicine, West Virginia University, Morgantown, USA. hamza.almusabeh@hsc.wvu.edu.
Digestive Diseases and Sciences
|March 30, 2026
Abstract
None:
During the initial EGD, urgent side-viewing EGD revealed the OTSC adjacent to the ampulla. The clip was removed using ice-cold water irrigation, an OTSC DC cutter, and rat-toothed forceps, resulting in immediate biliary drainage.
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