ABSTRACT
The principal indication is long-gap esophageal atresia, where the atretic segment extends beyond six or eight thoracic ver-
tebral bodies or when attempts at delayed primary anastomosis have failed. Other indications include disruption of a previous primary repair of esophageal atresia, extensive stricture of the esophagus – caustic ingestion or peptic esophagitis – with chronic aspiration, and foreign-body perforation of the esophagus.
