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In accordance with the "DFG Guidelines on the Handling of Research Data," we will make all data available upon request. The data set will be archived for at least 3 y after the publication. This study was presented and was awarded the best oral article award at Liver Transplant Society of India (LTSI) conference held in December 2020.

Tracheal penetration of esophageal self-expanding metallic stents (SEMS) with/without tracheoesophageal fistula (TEF) formation is a rare occurrence. We report the case of a 66-year-old female patient with advanced esophageal squamous cell carcinoma who had undergone palliative esophageal stenting on three occasions for recurrent esophageal stent obstruction. On evaluation of symptoms of breathing difficulty and aspiration following third esophageal stent placement, tracheal erosion and TEF formation due to the tracheal penetration by esophageal stent were diagnosed. The patient was successfully managed by covered tracheal SEMS placement under flexible bronchoscopy.

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