Endoscopic palliative management of esophagealand tracheal rupture

The increasing number of patients requiring intensive care and airway support has led to a growing recognition that significant short- and long-term morbidity may be associated with the use of artificial airways;this is despite significant improvementsin the materials used in laryngealtubes, which aim to decrease the traumaassociated with long-term intubation.We present the first case, to our knowledge,of huge, nontraumatic, esophageal perforation, widely communicating with the trachea, and which was treated successfully with double endoscopic stent placement.