Gastric tube esophagoplasty.

After a short review of the historical development of replacement of the esophagus, the possibilities, techniques, and results of gastric-tube esophagoplasty are discussed. Ten of 14 patients were followed up for 14 years, two were lost to follow-up and two died. Fistulas, anastomotic strictures, and also reflux could be treated successfully. A single perforation by endoscopy was surgically corrected. A peptic ulcer in the gastric tube was healed with antacid therapy. The gastric tube can be assumed to be a sufficient esophageal substitute. Long-term follow-up is still necessary.