[Eccentric esophagogastrostomy for cancers of gastric cardia and fundus--a report of 122 cases].

Eccentric esophagogastrostomy was performed in 122 patients with cancers of gastric cardia and fundus from 1989 to 1991. Three patients (2.4%) had anastomotic stricture. There were no postoperative anastomotic leakage, gastroesophageal reflux and postoperative death. Since the procedure is performed on an opened stomach under direct vision, the operator can adjust the length of anastomosis. Postoperative X-ray imaging showed that the anastomotic form resembles the anatomical features of gastric cardia and fundus with a larger diameter than that made by routine operation. Therefore, the eccentric esophagogastrostomy may help to reduce the possibility of postoperative anastomotic stricture, prevent gastroesophageal reflux and anastomotic leakage.