fig3
![ESD for duodenal carcinoma](https://image.oaes.cc/734b0d4a-348d-46b7-a73a-a0628cc2528a/4608.fig.3.jpg)
Figure 3. Complete closure of a mucosal defect in a case with intraprocedural perforation: (A) a 5 mm perforation occurred during submucosal dissection; (B) the wound was approximated by pulling the string tight to the clip; and (C) the whole mucosal defect was completely closed. The post-procedural clinical course was uneventful, and the patient was discharged on Post-Procedural Day 4.