(en) The over-the-scope (OTS) clip system is a safe and effective endoscopic therapy for gastrointestinal bleeding, perforation, and leakage. A recent review reported an overall complication rate of 1.7 %. We report the case of a 76-year-old woman with a complication that arose 11 years after the placement of two OTS clips (Ovesco Endoscopy AG, Tübingen, Germany). [...]