Endoscopic closure of a chronic tracheo-esophageal fistula with an over-the-scope suturing technique.

A 47-year-old Hispanic woman developed a tracheo-esophageal fistula (TEF) secondary to prolonged intubation for septic shock with multiple organ dysfunction. Upon extubation, the patient complained of persistent dysphagia, and a barium swallow showed a TEF, for which a temporary percutaneous gastrostomy tube was placed to prevent aspiration until surgical closure was performed. Unfortunately, the patient was lost to follow-up. A year later, she was admitted to our institution for leakage around the gastrostomy site and for closure evaluation of the TEF.