August 1986

Esophagogastrectomy With Use of a Single Gastrotomy for Pyloromyectomy and Insertion of EEA Stapler and Gastrostomy Tube

Author Affiliations

From the Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York.

Arch Surg. 1986;121(8):961-965. doi:10.1001/archsurg.1986.01400080109020

• A technique of esophagogastrectomy is described in which a single gastrotomy permitted (1) insertion of an end-to-end circumferential stapler for esophagogastric anastomosis, (2) a transgastric pyloromyectomy, and (3) placement of a gastrostomy tube. A transgastric pyloromyectomy was easy to perform and functioned adequately. The stapler could be advanced via the gastrotomy into the mediastinum or the upper thorax for the anastomosis. The placement of a gastrostomy tube obviated the need for prolonged use of a nasogastric tube, thus removing a major cause of discomfort. Use of this technique in 20 patients simplified the operative procedure and the postoperative care.

(Arch Surg 1986;121:961-965)