Figure 4: Jejunal interposition in a child with long gap esophageal atresia. (a) The pedicled graft of jejunum is prepared. The vascular arcade is preserved and extravascular length is gained by excising a segment of bowel (arrow). (b) The jejunal graft (arrow) is prepared while jejuno-jejunum anastomosis (arrowhead) is performed in the abdomen. (c) The esophagostomy is mobilized in the neck. (d) The jejunal graft is pulled up into the chest and the esophago-jejunostomy is performed in the chest