Endoscopic closure of duodenal perforation using an endoloop anchored by hemoclips

Perforation is one of the most serious adverse events related to endoscopic gastrointestinal (GI) procedures. Through-the-scope endoscopic clipping is the first-line therapy for GI perforation. However, conventional hemoclipping is inappropriate for large or anatomically complex perforations. Endoloop closure assisted by hemoclips has shown favorable efficacy for GI perforation. Here, we report a case of duodenal perforation treated using an endoloop anchored by hemoclips.