A strategy for primary reconstruction of long gap esophageal atresia usingneonatal colon esophagoplasty: A case report

Treatment options for long gap esophageal atresia without tracheoesophageal fistula generally require several stages over many months. An early neonat al vascularized conduit would allow a tension-free anastomosis, but the pre carious blood supply of the neonatal bowel makes mobilization and immediate interposition hazardous. This report describes the successful application of a strategy for primary reconstruction in the neonate using a short piece of colon mobilized into the mediastinum for subsequent delayed anastomosis . J Pediatr Surg 34:75-78. Copyright (C) 1999 by W.B. Saunders Company.