The results of 61 resections of the esophagus are reported. The cause of leakage is investigated. Using angiography and the TAS method, increasing diminution of the blood supply of the gastric wall can be observed after the ligature of 1, 2, or 3 arteries. Preservation of the right gastric artery and the right gastroepiploic artery, leaving an intact arcade, avoids necrosis of the suture line. However, it is better to remove the fundus in every case. Results after esophagointestinal anastomoses and investigations of blood flow in the mobilized stomach are reported.