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In the hope of preventing the tragic recurrence of malignant dysphagia in patients who have survived a high-risk operation for its relief, the whole stomach and thoracic oesophagus were resected in 6 patients, establishing continuity using jejunum or colon, with anastomosis in the neck. Of 6 patients, 5 survived the operation. Of 2 followed up for more than 1 year, 1 has survived 5\u00b75 years without recurrence, 1 died after 1 year with no post-mortem evidence of recurrence. This radical operation merits an extended trial in suitable patients.<\/jats:p>","DOI":"10.1002\/bjs.1800680817","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T21:19:04Z","timestamp":1172870344000},"page":"577-579","source":"Crossref","is-referenced-by-count":9,"title":["A trial of total gastrectomy, combined with total thoracic oesophagectomy without formal thoracotomy, for carcinoma at or near the cardia of the stomach"],"prefix":"10.1093","volume":"68","author":[{"given":"R M","family":"Kirk","sequence":"first","affiliation":[{"name":"Royal Free Hospital , London NW3 2QG"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1981,8,1]]},"reference":[{"key":"2024092713132619500_bib1","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1002\/bjs.1800660904","article-title":"Anastomotic recurrence in the oesophagus complicating gastrectomy for adenocarcinoma of the stomach","volume":"66","author":"Papachristou","year":"1979","journal-title":"Br. 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