Open the distal esophagus by transverse transection of its anterior wall and secure it proximally with an Allis forceps; this will prevent the distal esophagus from retracting craniad into the mediastinum. Now transect the posterior wall of the esophagus. Preplace a purse string suture (monofilament, nonabsorbable, 2/0, continuous full-thickness over-and-over) and gently dilate the esophagus with a dressing forceps. Insert the anvil of a circular EEA stapler and secure it by tying the preplaced purse string suture.
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Anchoring the anvil with a purse string suture
![Anchoring the anvil with a purse string suture]()
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Assessing the jejunal arcades and determining the length of the afferent limb
In order to achieve a good functional result, the segment of the jejunum must be dissected sufficie
In order to achieve a good functional result, the segment of the jejunum must be dissected sufficie
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