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We report the successful closure of a complex, large-diameter TEF in a male patient in his late 60s following radical esophagectomy, with initial surgical and esophagoscopic interventions considered unfeasible. A tracheal stent was placed to cover the fistula as a bridging therapy, followed by definitive closure using an over-the-scope clip (OTSC). The tracheal stent was removed at the 5-month follow-up, and no serious complications were observed during or after endoscopic management. For complex TEFs that are not amenable to surgical repair or esophagoscopic closure, tracheal stent placement serves as a bridging therapy, thereby providing a window for subsequent interventions. The combined strategy of tracheal stenting with the OTSC provides a minimally invasive and highly effective treatment option for complex TEFs through multidisciplinary collaboration.<\/jats:p>","DOI":"10.1177\/00368504261426207","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:54:47Z","timestamp":1774425287000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful closure of a complex tracheoesophageal fistula: An endoscopic intervention strategy based on tracheal stent transition"],"prefix":"10.1177","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0567-5209","authenticated-orcid":false,"given":"Ran-ran","family":"Mo","sequence":"first","affiliation":[{"name":"Jining No.1 People's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3411-2190","authenticated-orcid":false,"given":"Li-ran","family":"Zhang","sequence":"additional","affiliation":[{"name":"Jining No.1 People's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-fang","family":"Si","sequence":"additional","affiliation":[{"name":"Jining No.1 People's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1112-5959","authenticated-orcid":false,"given":"Cui-xia","family":"Bian","sequence":"additional","affiliation":[{"name":"Jining No.1 People's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0094-2020"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.04.029"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2321030733"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-016-4390-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00049809"},{"key":"e_1_3_3_7_2","article-title":"Rendezvous technique using bronchoscopy and gastroscopy to close a tracheoesophageal fistula by placement of an over-the-scope clip","volume":"46","author":"Vinnamala S","year":"2014","unstructured":"Vinnamala S, Murthy B, Parmar J, et al. 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