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A technique for gastroplasty as a substitute for the esophagus: fundus rotation gastroplasty
M W Buchler1, H U Baer, C Seiler
1Department of Visceral and Transplant Surgery, University of Bern, Inselspital, Switzerland.
Background:
A new method of gastroplasty for the intrathoracic esophagus is described that requires resection of a small part of the gastric corpus only. All tributaries of the arterial arcade along the lesser curvature are preserved.
Results:
The resulting gastric tube has three advantages over conventional techniques: an increase in length of the resulting gastric tube; an increase of blood flow at the tip of the gastric tube, where the anastomosis with the cervical esophagus is performed; and an increase of the gastric reservoir.
Study Design:
Prospective clinical trial.
Conclusions:
The new technique described appears to be a safe method to substitute for the intrathoracic esophagus, although oncologic radicality and long-term follow-up results after esophagectomy for carcinoma need to be evaluated.