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Use of the “bear claw” (over-the-scope-clip) to achieve hemostasis of a large gastric ulcer with bleeding visible vessel  Klaus Vormbrock, Marzena Zabielski 

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1 Use of the “bear claw” (over-the-scope-clip) to achieve hemostasis of a large gastric ulcer with bleeding visible vessel  Klaus Vormbrock, Marzena Zabielski  Gastrointestinal Endoscopy  Volume 76, Issue 4, Pages (October 2012) DOI: /j.gie Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 The OTSC system is attached to the tip of the endoscope similar to a variceal ligation device. Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Advancement of the endoscope with the attached OTSC cap through the oropharynx and esophagus is usually smooth and without major resistance. Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 The “bear claw” or “trap” (OTS-clip) has “trapped” the ulcer and its visible vessel. Gastrointestinal Endoscopy  , DOI: ( /j.gie ) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions


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