Fig. 3

Third episode. To the left, a computed tomography-scan depicting a coronal section of the thorax/upper abdomen with a contained perforation extending caudad along the right paragastric space (arrow). Note that there is no evidence of mediastinal or pleural disease, indicating a completely walled-off perforation. To the right, an illustration of a contained perforation and the extraluminal placement of the Eso-SPONGE system