1050 Misplaced “Bear Claw” in a Bleeding Gastric Ulcer: What Next?

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The over the scope clip (OTSC) with its large claw captures a large amount of tissue and clamp deeply below the vessel. In acute bleeding, proper deployment technique and accurate clip placement is crucial. However, when misplaced, removal of OTSC can be extremely difficult. In this case, we describe the endoscopic technique to manage a misplaced OTSC and treat a large bleeding gastric ulcer.