Current evidence on the safety and efficacy of the Foker technique for long-gap oesophageal atresia is limited but appears adequate to support the use of the procedure in the context of this rare and serious condition, provided that normal arrangements are in place for consent, audit and clinical governance.
Clinicians wishing to undertake the Foker technique should ensure that parents understand the implications of the condition and know that secondary interventions may be necessary. In addition, use of the information for the public is recommended.
This procedure should be undertaken only in specialist paediatric surgical units by surgeons specifically trained in this technique.
Clinicians should audit and review their results. Publication of further information about the Foker technique and its outcomes may be useful.