[Esophagojejunoplication - a new reconstructive method after total gastrectomy]

We propose an esophago-jejunum application in total gastrectomy performed for gastric carcinoma when the duodenum is not properly exposed for an adequate anastomosis. Technical details of the operation and results are described in 94 patients. The mortality was 12.7% due to the ample indication of total gastrectomy. Incompetence of the anastomosis was only found in 3.2% of cases. Other complications were respiratory failure and paralitic ileus. The late results were good or excellent in 74% of patients (Visick's criteria). The main advantage of the method is the decreased incidence of reflux which was found in 6%, much lower than with the usual surgical procedures.