[Late results after total gastrectomy and reconstruction by the Hunt-Lawrence-Ròdino method]

The operative technique to perform the jejunal pouch--a stomach substitute--according to Hunt-Lawrence-Rodinò is described. This operation should be employed in all cases in which a radical procedure is under consideration. The quality of life is much better than after simple esophago-jejunostomy. The 5-year survival after gastrectomy for carcinoma being 37% and 50% for Zollinger-Ellison syndrome, respectively, a somewhat longer operation is justified.