A new method of gastroplasty for the intrathoracic esophagus is described that requires resection of a small part of the gastric corpus only. All tributaries of the arterial arcade along the lesser curvature are preserved.The resulting gastric tube has three advantages over conventional techniques: an increase in length of the resulting gastric tube; an increase of blood flow at the tip of the gastric tube, where the anastomosis with the cervical esophagus is performed; and an increase of the gastric reservoir.Prospective clinical trial.The new technique described appears to be a safe method to substitute for the intrathoracic esophagus, although oncologic radicality and long-term follow-up results after esophagectomy for carcinoma need to be evaluated.