Shashideep Singhal, MD, and colleagues from the Brooklyn Hospital Center in Brooklyn, New York present this video case titled "Endoscopic closure of gastric perforation using Over-the-Scope Clip: a surgery-sparing approach." A 61-year-old woman with history of diabetes mellitus, sarcoidosis, and chronic oral steroid therapy presented for EGD for evaluation of dysphagia. The patient was found …