[The importance of esophagojejunogastroplasty in the surgical treatment of cancer of the proximal stomach].
The study discusses the efficacy of a new method of esophagojejunogastroplasty during subtotal and maximum subtotal proximal resections of the stomach. The surgical technique is described in detail. Seventeen patients aged 47-70 years were operated on for stage II-III cancer of the cardia, subcardia and fundus of the stomach. Extensive sagittal diaphragmotomy was performed in 15 cases whereas two patients were operated on through the combined abdomino-thoracic access. Pancreonecrosis and unrecognized microperforation of the gallbladder accounted for two fatalities whereas the other 15 patients were discharged from the clinic in good condition. They were followed for 1-30 months and, within this period, no postresection disorders such as reflux-esophagitis, cicatricial stricture of esophageal anastomosis or dumping syndrome were observed.