: Tracheoesophageal fistula (TEF) refers to a pathological connection between the tracheo-bronchial tree and esophagus, may be found in 5–15% of esophageal 1% malignancies. Individuals with such advanced malignancy resulting TEF, are usually at terminal stages disease. They often burdened intolerance feeding subject frequent pulmonary infections secondary respiratory contamination. Presentation...