Cautionary tales in the use of magnets for the treatment of long gap esophageal atresia

Retrospective analysis of three failed magnamosis cases for long gap esophageal atresia reveals significant complications including magnet erosion and failed anastomosis. Authors propose refined selection criteria: gaps <4cm off tension, caution with prior thoracic surgery, no concurrent tracheobronchomalacia, and treatment at centers equipped for complications.