Endoscopic clipping has fallen out of favor for chronic epithelialized fistulae. Endoscopic clipping of EGF, whether though or over-the-scope (OTSC), has a high relapse rate [2]. Chun et al. described a case series of 8 patients diagnosed with EGF who underwent endoscopic clipping. Five out of eight patients developed fistula relapse within 5 to 7 days following endoscopic treatment [2]. Thus, it is clear that endoscopic clipping is transiently efficacious and does not constitute a long-lasting treatment for EGF.