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The attempted endotracheal intubation(s) may cause esophageal perforation and such perforations mainly occur in the cervical segment (1,2). Perforation of the esophagus can have catastrophic consequences, and the mortality rate is approximately 20%, despite the recent medical developments (2). Surgery is the treatment choice, but it also has high morbidity and mortality rates. Various endoscopic minimal invasive treatment methods, such as fibrin glue injection, clipping, stenting, and endoscopic suturing devices, have been developed for the treatment of gut perforations (2). The time of diagnosis after perforation plays a critical role in the choice of treatment. The application of the mentioned endoscopic methods is extremely challenging in the cervical segment and may not be a definitive therapy for the late diagnosed perforations due to abscess formation. If the perforation does heal, abscess requires a second attempt. In recent years, endoscopic vacuum therapy (EVT) has been introduced and successfully used in esophageal perforations. (2-5). EVT is effective both in abscess treatment and perforation.

Endoscopic vacuum therapy in the late diagnosed iatrogenic esophageal perforation: The convenience of using fluoroscopy