Curative endoscopic closure of a chronic esophagopleural fistula after Boerhaave syndrome using an over-the-scope clip: A case report

Figure 6 Clinical course. Timeline of the patient’s clinical course from onset of spontaneous esophageal rupture to discharge after over-the-scope clip (OTSC) treatment. The upper axis indicates the days after onset, while the lower axis indicates the days after OTSC placement. Mechanical ventilation was required from day 0 to day 53. Fistula closure was confirmed on day 59, and the patient was discharged on day 149. Approximately 1 year later, an esophagopleural fistula was diagnosed and treated with OTSC and continuous drainage. Contrast esophagography confirmed closure on day 14 after OTSC placement. Spontaneous clip dislodgement occurred on day 27 after OTSC placement without recurrence, and the patient was discharged on day 39 after OTSC placement. OTSC: Over-the-scope clip.