Submucosal fibrin glue injection for closure of recurrent tracheoesophageal fistula.

We describe a new endoscopic technique for closure of recurrent tracheoesophageal fistula in which fibrin glue is injected into the submucosa of the lateral walls of the fistula until the lumen is occluded. This technique eliminates the possibility of the fibrin glue plug becoming dislodged and aspirated. In addition, our technique is simpler and safer in that it does not require diathermy or laser coagulation to deepithelialize the tract, and thereby eliminates the potential for injury to the esophagus and trachea.