Complications - Gastrointestinal anastomosis technique – Roux-en-Y esophagojejunostomy - general and visceral surgery
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- In extreme cases the esophagus may slip craniad and can no longer be clamped. In this case the hiatus must be enlarged. In extreme cases, this mandates right thoracotomy for the anastomosis to be fashioned. If this happens in a hospital not equipped to perform such a thoracotomy, drain the region and transfer the patient to the nearest thoracic surgery center.