Tracheoesophageal fistula (TEF) is a congenital oracquired pathologic entity characterized by an abnormalcommunication between the posterior aspect of the tracheaand the anterior wall of the esophagus. Acquired TEF is a notuncommon adverse event secondary to mechanical ventilation, trauma, esophageal tumor, prior laryngectomy, oresophagectomy.1-3 Given the potential serious consequence of possible fatal pulmonary aspiration, promptclosure of TEFs is critical. Although an endoscopic approachto TEFs has been optimized over the past years, includingendoscopic stent placement and over-the-scope clipsystem,4-5 recurrent TEFs remain a therapeutic challenge,with literature reporting up to 20% recurrence.6-7 Here wepresent a new hybrid approach with endoscopic management of an acquired TEF.
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