Use of the stomach as an oesophageal substitute

  • Arnulf H. Hölscher
  • J. Rüdiger Siewert


The use of the stomach as an oesophageal substitute was introduced by Kirschner in 1920 as a non-resectional operative bypass. His operation consisted of skeletonization of the greater curvature of the stomach, and the mobilized stomach was then brought subcutaneously up to the divided cervical oesophagus. The application of this procedure using either the orthotopic or the retrosternal route after oesophagectomy and the standardization of this method was largely due to the work of Ong, Nakayama and Akiyamal.


Gastric Tube Gastric Artery Common Hepatic Artery Gastric Fundus Left Gastric Artery 
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Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • Arnulf H. Hölscher
    • 1
  • J. Rüdiger Siewert
    • 2
  1. 1.Department of SurgeryTechnical University of MunichMunichGermany
  2. 2.Chairman of the Department of SurgeryTechnical University of MunichMunichGermany

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