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May 1959

Postcricoid Carcinoma and Obstructing Lesions of the Thoracic Esophagus: A New Operation for Replacement of the Esophagus

Author Affiliations

New Rochelle, N. Y.
Adjunct Thoracic Surgeon, Montefiore Hospital, and Assistant Clinical Professor of Surgery, New York Medical College.

AMA Arch Otolaryngol. 1959;69(5):570-576. doi:10.1001/archotol.1959.00730030582008

Introduction  An operation will be presented which enables the entire esophagus to be replaced, from the pharynx to the cardia of the stomach. The procedure has been used successfully in the treatment of benign and malignant obstructions of the esophagus. Gastrointestinal continuity is restored physiologically. The patient in whom the entire esophagus has been resected or by-passed by a reversed gastric tube can eat all foods in a normal manner.The operation will be described and three case reports presented which illustrate its use in the treatment of benign and malignant esophageal obstructions. I have performed this operation in 10 consecutive patients, 2 of whom will be presented. The first case demonstrates the successful treatment of carcinoma of the upper thoracic esophagus. The second report describes the restoration of gastrointestinal continuity in a patient with a lye stricture of the esophagus.I described the reversed gastric tube operation in 1955,

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