Neonates may require esophageal dilation for various reasons, including congenital conditions like esophageal atresia, where parts of the esophagus are absent, or due to strictures that can develop from conditions such as gastroesophageal reflux disease (GERD) or after surgical interventions. These conditions can result in dysphagiaâdifficulty in swallowing, which can affect a neonate's ability to feed and thrive.