A frank perforation of the upper gastroin-testinal tract is usually repaired surgically. With the advent of endoscopic clipping devices, patients with gastric [1], duode-nal [2], and colonic [3, 4] perforations have been treated endoscopically. We report the successful use of an endoscopic clipping device to treat a duodenal perforation that occurred during an endo-scopic ultrasound examination.
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