title: Esophagogastrectomy with simultaneous intestinal repair.
abstract: OBJECTIVE
  to present treatment of patients with gastroesophageal cancer.
  
  
  METHODS
  41 cases of esophagogastrectomy with simultaneous intestinal repair were analyzed. There were 37 operations for malignancies and 4 operations for benign diseases. Indications for surgery were defined. Abdominocervical access was predominantly used. In 6 patients esophageal repair was finished by high intrapleural anastomosis due to insufficient length of the graft for cervical anastomosis. Surgical technique of esophagogastrectomy was described in detail at all stages.
  
  
  CONCLUSIONS
  Better functional results were achieved in isoperistaltic esophagocoloplasty when graft's aboral end was anastomosed with Roux-segment of jejunum or with vertical bend of duodenum in end-to-side fashion. Mortality rate was 12.2%.
  
  
  CONCLUSIONS
  We consider that isoperistaltic repair on left colonic vessels has better functional results.
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia.
authors.forename: A A
authors.initials: AA
authors.lastname: Chernyavskiy
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia.
authors.forename: N A
authors.initials: NA
authors.lastname: Lavrov
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D003106:Colon / Q000637:transplantation*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D004944:Esophagoplasty / Q000009:adverse effects / Q000379:methods; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D016019:Survival Analysis