Between 1982 and 1992, nine cases of oesophageal caustic stricture underwent oesophagogastric double anastomosis with success. There was no need to dissect and resect the strictured esophagus, and traumatizing organs adjacent to oesophgus was avoided. This method also eliminated the possibility of occurrence mediastinal abscess due to postoperative rebindling or infection by the esophageal segment. Indications for this operation are as follows: the esophageal stenosis located below the aorta arch; the stomach mobilized and pulled up to the upper level above the aorta arch dispite the presence of scattered caustic shrinkage; to assess the location and extent of corrosive injury and determine the level of reestablishment of the digestive tract through routine preoperative fiberoptic oesophagoscopy. This simplified procedure shortens the operating time, but yields excellent result.
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