[A new operation for reconstruction of the digestive tract after total gastrectomy]

A new type of gastroplasty to be employed following total gastrectomy is proposed. A retrocolic loop is anastomosed, Roux fashion, end to end to the duodenum; the stump of the oesophagus is then anastomosed end-to-side to the same loop. This new technique offers advantages which are described. Postoperative pictures of two patients are presented.