Endoscopic esophageal anastomosis

This paper describes four cases of esophageal atresia without a lower fistula in which a perlon thread was inserted through the two esophageal segments by an endoscopic method. With the aid of the thread and two metal olives the segments were drawn closer together and finally a communication was established without an operation. The method of introducing the thread and the olive technique are demonstrated in a series of drawings, and the results achieved in the case of four children are also presented.