Endoscopic vacuum therapy as a salvage treatment of a life-threatening esophageal perforation

The mortality rate of esophageal perforations is 31% [1]. In severe cases, surgery becomes its mainstay management. But what happens when they fail to resolve a life-threatening condition? Endoscopic therapies (stenting, suturing, clipping) become a salvage option showing favorable results [2]; sometimes, though, they are not enough and require exploration of alternatives [3] [4]. We present challenging cases successfully treated with rescue endoscopic vacuum therapy (EVT) ([Video 1]).