oesophageal adenocarcinoma (which has been steadily increasing in inci
dence during the last 20 years) is thought to be promoted by gastric r
eflux. In a cohort of 5018 gastric surgery patients, 19 of whom develo
ped oesophageal cancer, there was no increased proportion of adenocarc
inomas. We conclude that the hypothesized aetiology was not supported.