Such radical operative procedures as esophagectomy for cancer of the esophagus and total gastrectomy for certain cancers of the stomach are now being done with increasing frequency. Numerous surgeons, both European and American (Fischer,1 Sauerbruch,2 Phemister,3 Garlock,4 Carter, Stevenson and Abbott,5 Churchill,6 Ochsner and DeBakey,7 Jonas,8 Cattell9 and Marshall10), have successfully resected cancers involving both the cardiac portion of the stomach and the terminal portion of the esophagus, such operations being performed by a transthoracic, transdiaphragmatic approach and completed usually by an intrathoracic esophagogastric anastomosis. In the patient whose case is reported here, so much of the stomach and esophagus was involved by cancer as to prohibit such an anastomosis. Consequently a subtotal gastrectomy and a subtotal esophagectomy, with subsequent construction of a prethoracic artificial esophagus, were necessary. REPORT OF CASE R. B., a Russian Jew born in December 1900,