Advances in minimal invasive treatment for esophageal perforation

can be fastened to the esophageal mucosa by endoscopic clips, a technically easy but often non-functioning strategy. Secondly, over-the-scope clips, providing more force, have been suggested. This somewhat more demanding approach has been demonstrated to reduce stent migration (8.3% vs. 35.4% without fixation) but at a higher cost (9,10). Moreover, the clip can be difficult to remove, and this process might require special equipment. Thirdly