Application of Collis gastroplasty to the management of esophageal atresia.

Establishment of esophageal continuity in the presence of an isolated esophageal atresia frequently requires deferred esophageal substitution. The author describes the use of Collis gastroplasty as an esophageal lengthening technique for the distal esophagus. This technique permitted the performance of primary repair of the esophagus in an infant with a 6-cm gap that otherwise would have required an esophageal substitution procedure. Morbidity after this procedure is comparable to that occurring after a number of established techniques.