The length of the graft required is not a problem, unlike other options. Provides a tube of a good diameter. Gastric tube oesophagoplasty A longitudinal segment is taken from the stomach, which is then swung up into the chest and joined to the oesophagus. Good blood supply. Very long suture-line.
Reflux commonly occurs.
The whole stomach is freed, mobilised and moved into the chest. The upper end of the oesophagus is then anastomosed to the top of the stomach in the neck. This is a relatively new technique and its long-term effectiveness is therefore not yet proven. Relatively simple procedure. Dumping' occurs when food enters the intestine quite quickly.