Abstract
The best possible procedure for esophageal replacement is an ongoing debate. Most procedures are adopted on the basis of personal experience, available resources and the familiarity with the procedure. There is very sparse experience with esophageal replacement in the neonatal period. This article reviews the available literature on early replacement for esophageal atresia and tracheoesophageal fistula. Gastric transposition at an early age has stood the initial test of time and the personal experience with this procedure is described. Gastric pull-up could be a lifesaving alternative to diversion, even in the critically ill newborns following major leaks. However, it requires technical expertise and intensive care monitoring at tertiary care-level centers.
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