IN OCTOBER, 1942, in an address given before the American Academy of Ophthalmology and Otolaryngology, I1 made the following statement:Adequate removal of a carcinoma located in the middle half of the esophagus precludes the possibility of performing an anastomosis within the chest for the restoration of continuity. In all these cases it is necessary to establish a cervical esophagostomy and a gastrostomy or enterostomy for feeding.Two years later, as a result of increased experience with the transthoracic resection of carcinoma of the cardia and lower end of the esophagus, the field of resection followed by an anastomosis has . . .