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  • Title: A technique for gastroplasty as a substitute for the esophagus: fundus rotation gastroplasty.
    Author: Buchler MW, Baer HU, Seiler C, Schilling M.
    Journal: J Am Coll Surg; 1996 Mar; 182(3):241-5. PubMed ID: 8603244.
    Abstract:
    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.
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