ABSTRACT

Reconstruction of the esophagus in long gap esophageal atresia (type A) has always been a challenge. The fact that many different techniques have been developed over the years indicates that reconstruction is not an easy procedure. In 1946, Reinhoff performed an intrathoracic jejunal replacement of the esophagus. Jejunal interposition for long gap esophageal atresia was first described by Akiyama et al. in 1971, and was later adopted by Bax et al. The technique is demanding, but the results are encouraging, even in the long term.