(a) View of the proximal sleeve perforation site prior to intervention. (b) View of the perforation after EVAC therapy. Cavity appears debrided, well perfused, and not infected. (c) Laparoscopic view of the hiatus at the time of FJ. Adhesions were taken down to see the proximal perforation site, and the Endo-SPONGE has been pulled through the perforation into the peritoneal cavity.