Temporary banding of the gastroesophageal junction in the critically ill neonate with esophageal atresia and tracheoesophageal fistula

Kerry Fagelman, A. Boyarsky

Research output: Contribution to journalArticle

8 Scopus citations


Patients with esophageal atresia and a distal trachoesophageal fistula with associated conditions contributing to decreased pulmonary compliance present special problems in management. In the face of positive pressure ventilation, the fistula acts as a vent preventing adequate ventilatory effort from reaching the lungs. A thoracic approach to ligate or divide the fistula carries with it a high mortality rate. A technique is described whereby a silicone rubber band is applied to the gastroesophageal junction to effectively occlude the esophagus. It is designed so that it can be adjusted or removed, without operative intervention, according to the patient's clinical course and growth.

Original languageEnglish (US)
Pages (from-to)594-597
Number of pages4
Issue number3
Publication statusPublished - Dec 1 1985


All Science Journal Classification (ASJC) codes

  • Surgery

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