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New Method of Esophageal Replacement

Mikio Yamagishi, MD; Noritsugu Ikeda, MD; Toshio Yonemoto, MD

AMA Arch Surg. 1970;100(6):689-692.

Abstract
In a new method of esophageal replacement or bypass, an isoperistaltic gastric tube isolated from the greater curvature side of the stomach is used as a substitute for the esophagus. The tube can be shifted to a place of considerable distance and its oral end can be anastomosed to the cervical esophagus without tension even if the subcutaneous route is chosen. This is possible because it has a long vascular pedicle made from the right gastroepiploic vessels. This procedure has been done, without operative deaths, on 17 patients with cancer of the thoracic middle or upper third of the esophagus. Radical resection of the cancer was performed on two of these patients. Leakage in the neck occurred in two cases; however, it healed soon in both cases. None complained of regurgitation of gastric juice.

Author Affiliations
Yokohama, Japan

From the Surgical Department, Yokohama University School of Medicine, Yokohama, Japan.

Footnotes
Accepted for publication Jan 19, 1970.

Reprint requests to Department of Surgery, Yokohama University School of Medicine, Yokohama, Japan (Dr. Yamagishi).

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