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.
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.
Authors: Susanne Blank; Thomas Schmidt; Patrick Heger; Moritz J Strowitzki; Leila Sisic; Ulrike Heger; Henrik Nienhueser; Georg Martin Haag; Thomas Bruckner; André L Mihaljevic; Katja Ott; Markus W Büchler; Alexis Ulrich Journal: Gastric Cancer Date: 2017-07-06 Impact factor: 7.370
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Authors: Chengcheng Christine Zhang; Lukas Liesenfeld; Rosa Klotz; Ronald Koschny; Christian Rupp; Thomas Schmidt; Markus K Diener; Beat P Müller-Stich; Thilo Hackert; Peter Sauer; Markus W Büchler; Anja Schaible Journal: BMC Gastroenterol Date: 2021-02-16 Impact factor: 3.067