Figure 5.

Patient with esophageal carcinoma treated with chemoradiotherapy, complicated by an upper tracheal TEF (A, white arrow) for which she received a partially covered SEMS (Ultraflex, Boston Scientific; Natick, MA, USA) that covered the fistula (B, white arrow). Esophageal stent could not be placed due to a severe proximal esophageal stenosis. Patient had significant initial improvement in symptoms. Inspection bronchoscopy 6 weeks later showed stable stent position and TEF occlusion with no granulation tissue (C, white arrow).