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Abstract
A one-stage operation for replacing or by-passing the esophagus has been successfully
performed experimentally. This procedure utilized a tube which is created from the
greater curvature of the stomach, retaining its attachment to the cardia. The left
gastroepiploic vessels are preserved and utilized to maintain the vascularity of the
tube.
The clinical implications of this operation are: (1) esophagogastric continuity is
restored without the intervention of intestine or a plastic material; (2) the residual
stomach retains its storage function; (3) the mediastinal structures and lungs are
not compressed; (4) it is not necessary to incise or paralyze the diaphragm; (5) the
vagus nerves may be preserved; (6) it is hoped that the anastomosis of the nonacid-secreting
portion of the antrum to the esophagus will prevent the development of esophagitis.
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References
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Article info
Publication history
Received:
September 28,
1954
Footnotes
☆Aided by a grant from the Research Fund of the New York Medical College.
Identification
Copyright
© 1955 Published by Elsevier Inc.
