Response:

We thank Coman et al1 for their letter and interest in our article "Over-the-scope clip-assisted endoscopic full-thickness resection of epithelial and subepithelial GI lesions." They describe a case of delayed gastric perforation in a patient with gastroparesis after undergoing over-the-scope-clip (OTSC)-assisted full-thickness biopsy. This case highlights that advanced resection techniques, such as OTSC-assisted endoscopic full-thickness resection (EFTR), are associated with procedure-related risks, and close postprocedural monitoring is essential to detect and promptly manage adverse events.

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