The author reports on two patients who presented with recurrent trache
oesophageal fistula. They were treated with the endoscopic application
of fibrin sealant (Tisseel) directly to the fistula tract. The techni
que may require multiple applications before complete fistula closure
is achieved. The procedure is associated with low morbidity and may el
iminate the need for a second thoracotomy. Copyright (C) 1995 by W.B.
Saunders Company