Gastric transposition via the mediastinal route for infants with long-gap esophageal atresia.

Gastric replacement of the esophagus using the posterior mediastinal route is reported in four infants with esophageal atresia without tracheoesophageal fistula. The procedure is recommended for the ease with which the operation can be performed and the low incidence of anastomotic complications. Growth and development in the short-term follow-up has been satisfactory and reflux has not been a problem.