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Creation of the gastro-jejunostomy (part 2). a Enterotomy 30–50 cm from the angle of Treitz. b Antimesenteric perforation of the jejunum with the spike after introduction of the circular stapler. c Closure of the circular stapler. d Finalization of the anastomosis by transection of the remaining small bowel 1 cm proximal to the gastro-jejunostomy
