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This paper presents the Modified Oesophago-Gastric Dissociation (M-OGD) as a less complex technical modification of the original Total Oesophago-Gastric Dissociation (TOGD). The stomach is detached from the oesophago-gastric junction with an articulated 5-mm stapler, leaving a 5-mm strip of stomach attached to the oesophagus. An end-to-side isoperistaltic oesophago-jejunostomy is created between the gastric stump and the isoperistaltic jejunal Roux loop. A jejuno-jejunal anastomosis restores bowel continuity. Between May 2018 and February 2020, M-OGD was performed on 3 NI patients with a weight of 9\u201327.3\u00a0kg (median\u2009=\u200914\u00a0kg). Median age at surgery was 60\u00a0months (18\u2013180), median surgical time 170\u00a0min (146\u2013280), median re-feeding time was 3\u00a0days (2\u20135), and median length of stay was 20\u00a0days (11\u201325). All patients healed primarily and after a median follow-up of 3\u00a0months, there were no problems related to the oesophago-jejunal anastomosis. M-OGD reduces the difficulties of redo oesophageal surgery following failed anti-reflux procedures, with a safer oesophago-jejunal anastomosis and a good long-term outcome.<\/jats:p>","DOI":"10.1007\/s13304-020-00934-z","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T12:03:02Z","timestamp":1606996982000},"page":"775-778","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Modified Oesophago-Gastric Dissociation (M-OGD)\u00a0\u2014\u00a0a technical modification"],"prefix":"10.1007","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3878-1415","authenticated-orcid":false,"given":"Riccardo","family":"Coletta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Mussi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Bianchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Morabito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"934_CR1","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1016\/S0022-3468(97)90304-3","volume":"32","author":"A Bianchi","year":"1997","unstructured":"Bianchi A (1997) Total esophagogastric dissociation: an alternative approach. 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Therefore, institutional review board approval was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"Informed consent was taken for all patient in respect of national law.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}