Proceedings of the 151st Semon Club, 23rd May 2016, ENT Department, Guy's and St Thomas’ NHS Foundation Trust, London, UK

Case report A 57-year-old gentleman underwent an oesophagectomy with gastric pull-up for a tumour–node–metastasis stage T3N1M0 lower oesophageal adenocarcinoma. Two years later, he developed an extensive recurrence that was treated surgically with laryngo-pharyngo-oesophagectomy and colonic interposition. Ten months later, he developed recurrent chest infections and sputum production from the stoma. Initial tracheoscopy confirmed lower respiratory tract infection, but showed no fistulation. He was primarily treated with antibiotics, but this did not fully resolve his symptoms.