Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	121170
DOI	10.4240/wjgs.121170
Country	Japan

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Curative endoscopic closure of a chronic esophagopleural fistula after Boerhaave syndrome using an over-the-scope clip: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Naoto Takahashi, Shigeaki Baba, Yosuke Toya, Haruka Nikai, Ryosuke Fujisawa, Fumitaka Endo, Akira Umemura, Takeshi Iwaya, Hiroyuki Nitta and Akira Sasaki
Funding Agency and Grant Number
Corresponding Author	Naoto Takahashi, Assistant Professor, MD, PhD, Department of Surgery, Iwate Medical University School of Medicine, 2-1-1 Idaidori, Yahaba-cho, Shiwa-gun 028-3695, Iwate, Japan. takanao@iwate-med.ac.jp
Key Words	Boerhaave syndrome; Esophagopleural fistula; Over-the-scope clip; Chronic fistula; Endoscopic closure; Conservative management; Case report
Core Tip	The development of a chronic esophagopleural fistula following conservative management of Boerhaave syndrome is rare, such fistulas are difficult to treat, particularly in patients who are poor candidates for surgical intervention. We report a case in which a small chronic esophagopleural fistula was successfully closed using an over-the-scope clip combined with adequate pleural drainage and infection control. This case suggests that with appropriate patient selection and comprehensive management, over-the-scope clip can provide a minimally invasive and effective treatment option for chronic esophageal fistulas in high-risk surgical candidates.
Citation	Takahashi N, Baba S, Toya Y, Nikai H, Fujisawa R, Endo F, Umemura A, Iwaya T, Nitta H, Sasaki A. Curative endoscopic closure of a chronic esophagopleural fistula after Boerhaave syndrome using an over-the-scope clip: A case report. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.121170
PDF	121170-in-press.pdf

Received	2026-03-18 06:04
Peer-Review Started	2026-03-18 06:04
First Decision by Editorial Office Director	2026-04-04 03:37
Return for Revision	2026-04-04 05:14
Revised	2026-04-10 13:30
Publication Fee Transferred	2026-04-14 02:49
Second Decision by Editor	2026-06-04 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-04 08:20
Articles in Press	2026-06-04 08:20
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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