Anastomotic stricture is the most common complication following surger
y for oesophageal atresia. The management of this problem provides a c
ontinuing challenge to paediatric surgeons. In an effort to reduce the
rate as well as the morbidity and mortality associated with oesophage
al stricture formation, a regime of routine post-operative prophylacti
c oesophageal calibration has been undertaken in Princess Margaret Hos
pital for Children over the last 12 years. Retrospective review of the
results of this treatment modality shows low stricture (1.8%) and mor
bidity rates associated with the procedure.