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Abstract:
The procedure of first choice for esophageal replacement is gastric interposition. Alternatively the replacement by colon is possible after gastric surgery. In our own examinations patients with gastric interposition had an accelerated emptying while those with colon interposition showed a delayed emptying. In spite of persisting acid secretion of the interpositioned stomach the gastroesophageal reflux was of minor importance after total intrathoracic position of the stomach.