Question: A 50-year-old male patient with squamous cell carcinoma and a previous esophagogastroduodenoscopy revealing a stenotic and infiltrative lesion at 21 to 30 cm from the incisors was admitted with history of intermittent upper gastrointestinal bleeding for the last 6 days, presenting as hematemesis and melena (Figure A). A computed tomography scan demonstrated a luminal narrowing of the esophagus at the middle third, with air and fluid in the proximal esophagus, which was mildly dilated (Figure B).