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Abstract
Esophageal perforation has historically been a devastating condition resulting in
high morbidity and mortality. The use of endoluminal therapies to treat esophageal
leaks and perforations has grown exponentially over the last decade and offers many
advantages over traditional surgical intervention in the appropriate circumstances.
New interventional endoscopic techniques, including endoscopic clips, covered metal
stents, and endoluminal vacuum therapy, have been developed over the last several
years to manage esophageal perforation in an attempt to decrease the related morbidity
and mortality.