69 year-old man with esophageal carcinoma, with a fistula tract (arrow) leading into the left bronchial tree. Placement of a coated wire-mesh Stent successfully covered the fistula.


46 year-old man with squamous cell carcinoma of the esophagus, who had symptoms of aspiration. Endoscopy confirmed the presence of a fistula, which radiographically communicated with the right bronchial tree. Endoscopic placement of a coated wire-mesh Stent covered the fistula tract sufficiently to alleviate the symptoms of aspiration.

Intramural Fistula

 34 year-old woman with AIDS who presented with dysphagia and odynophagia. Endoscopy revealed a fistula, which proved on barium study to be intramural. Endoscopic biopsies were negative for pathogens and for neoplasia.