Esophageal tumor extending into stomach

This was a 52 year old lady with a tumor of the lower esophagus which was extending into the stomach along the lesser curvature (A). We attached external markers to dilate the extent of the tumor under flouroscopic guidance (B:green arrows). A partially covered self expanding metallic stent was passed (C: Total length 12cm with a 1.5cm uncovered area at either end. Flared diameter 23mm and shaft diameter 17mm). The stent was positioned along the markers (D: red arrows showing the stent). Repeat endoscopy was done after stent placement (E). Flouroscopic images showed a successful stent deployment (F1: green arrows showing stent with external markers in place. F2: green arrows show stent with external markers removed)