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Man H. Shiu, MD

Arch Surg. 1986;121(8):961-965.

Abstract
• A technique of esophagogastrectomy is described in which a single gastrotomy permitted (1) insertion of an end-to-end circumferential stapler for esophagogastric anastomosis, (2) a transgastric pyloromyectomy, and (3) placement of a gastrostomy tube. A transgastric pyloromyectomy was easy to perform and functioned adequately. The stapler could be advanced via the gastrotomy into the mediastinum or the upper thorax for the anastomosis. The placement of a gastrostomy tube obviated the need for prolonged use of a nasogastric tube, thus removing a major cause of discomfort. Use of this technique in 20 patients simplified the operative procedure and the postoperative care.

(Arch Surg 1986;121:961-965)

Author Affiliations
From the Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York.

Footnotes
Accepted for publication Jan 9, 1986.

Reprint requests to Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021 (Dr Shiu).

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