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. 2018 Jul 4;6(7):E789–E796. doi: 10.1055/a-0614-2390

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This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 1 — Use of OTSC as a second-line treatment modality for a bleeding duodenal ulcer. a A visible artery was seen proximal to a previously deployed clip. b The endoscope was equipped with an OTSC. Active bleeding occurred during suction. c The bleeding vessel was placed in the center of the OTSC cap and using the suction technique, the OTSC was deployed. The bleeding stopped completely. d There was no recurrent bleeding. The clip 24 hours later.