An Approximation Technique for Primary Anastomosis (Gazi Method) In Selected Cases of Long Gap Esophageal Atresia

Abstract

The authors describe a technique of approximation and primary repair (Gazi method) for selected long gap esophageal atresia (LEA).Five infants underwent repair for LEA. The distal fistula was divided and oversewn. The upper and lower ends of the esophagus were dissected and excessively mobilized. Both of the esophageal ends were grabbed approximately 1 cm away from the anastomotic line with gentle tissue forceps to reduce the tension.