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a Endoscopic view of patient with an esophago-respiratory fistula and a slightly distally migrated fully covered SEMS. b The SEMS was removed and replaced by another type of fully covered SEMS to seal the esophago-respiratory fistula. c Unfortunately, the esophago-respiratory fistula had persisted when the SEMS was removed after 8 weeks and a surgical approach was chosen to close the fistula. SEMS = self-expandable metal stent
