fig3

Figure 3. (A) A 40-mm laterally spreading granular-type tumor in the ascending colon; (B) mucosal defect after endoscopic submucosal dissection; (C) first clip with line is placed on the anal mucosa; (D) another clip is anchored to the oral side; (E) by pulling the line through the accessory channel, the mucosa with clips come close together; (F) additional endoclips with/without a line are placed to achieve complete closure.