title: A technique for gastroplasty as a substitute for the esophagus: fundus rotation gastroplasty.
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.
  
  
  METHODS
  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.affiliation: Department of Visceral and Transplant Surgery, University of Bern, Inselspital, Switzerland.
authors.forename: M W
authors.initials: MW
authors.lastname: Buchler
authors.forename: H U
authors.initials: HU
authors.lastname: Baer
authors.forename: C
authors.initials: C
authors.lastname: Seiler
authors.forename: M
authors.initials: M
authors.lastname: Schilling
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008833:Microcirculation; D008875:Middle Aged; D010610:Pharyngeal Neoplasms / Q000601:surgery; D011446:Prospective Studies; D013270:Stomach / Q000098:blood supply