Background: The prognosis of esophageal malignancy is poor and symptomatic palliation is important for those patients with malignant dysphagia and tracheoesophageal fistula. Endoscopic endoprosthesis insertion has been widely u for the palliative purpose, and authors analyzed the effects and complications of endoscopic esophageal dilation and endoprosthesis insertion. Methods: Thirty patients with dysphagia or frequent aspiraton due to esophagogastric malignancy were managed with esphageal dilation and/or endoscopic endoprosthetic tube insertion for the purpose of symptomatic palliation. Twenty-one patients had esophageal cancer, six had gastric cancer, and three had lung cancer. Results: Dysphagia was relieved in 72% of the patients and aspiration due to fistula was improved in 40% of the patients. Complications were as follows; Perforation (17%), tube obstruction (21%), dislocation (14%), bleeding (3.3%). Perforations were managed with conservative medical measures. There was no immediate procedure-related mortality. Conclusion: Esophgeal dilation and/or endoscopic endoprosthetic tube insertion were effective measure for the palliation of esophageal symptoms due to esophagogastric malignancies.