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MALIGNANT TRACHEO ESOPHAGEAL FISTULA: AIRWAY Y- SEMS PLACEMENT 68-year-old man, a reformed smoker, diagnosed case of COPD presented with 2 months history of gradually worsening dysphagia and breathlessness. At the presentation, he was emaciated, and in respiratory failure. An endoscopy done outside showed an ulcerative growth causing near complete occlusion in the esophagus with a fistula into the trachea... After initial stabilization with hydration, nutrition, and antibiotics, a bronchoscopy was performed. Bronchoscopy revealed a large defect in the posterior wall of the lower trachea. After measuring the tracheal diameter using measuring forceps, an 18mm self-expanding Y self-expanding metallic stent was deployed to cover the fistula. The procedure was performed via a rigid bronchoscope under fluoroscopic vision A nasojejunal tube was placed to maintain enteral nutrition.. once he is stabilized, he is planned for definitive oncologic therapy... FINAL DX: MALIGNANT TRACHEO ESOPHAGEAL FISTULA #DrNagarjunaVMaturu #yashodaHospitals #Hyderabad #MalignantTracheoEsophagealFistula #COPD #Dysphagia #Breathlessness #Bronchoscopy #TrachealStent #EnteralNutrition #OncologicTherapy