Operations to Resect, Replace, or Bypass the Esophagus

  • Jameson L. Chassin


A number of surgeons have asserted that resection of the lower esophagus and proximal stomach for lesions near the gastric cardia, followed by esophagogastric anastomosis, is an operation with a high mortality rate and a high incidence of reflux esophagitis. Moreover, some say this operation is no better from the nutritional point of view than total gastrectomy with esophagojejunostomy. Our experience is completely to the contrary. After total gastrectomy, dumping is common and nutritional rehabilitation is often difficult. On the other hand, we have observed that very few patients experience serious symptoms of reflux esophagitis following esophagogastrectomy with an end-to-side anastomosis. No dietary restrictions have been necessary. In 44 consecutive cases, among patients whose average age was over 70, we encountered (and reported) no clinical anastomotic leaks and no deaths.


Total Gastrectomy Reflux Esophagitis Gastric Cardia Cervical Esophagus Jejunal Interposition 
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Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.School of MedicineNew York UniversityUSA
  2. 2.University Hospital, New York University Medical CenterUSA
  3. 3.New York Veterans Administration HospitalUSA
  4. 4.Bellevue HospitalUSA
  5. 5.Long Island Jewish-Hillside Medical CenterUSA

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