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. Author manuscript; available in PMC: 2014 Jul 29.
Published in final edited form as: J Gastrointest Surg. 2011 Dec 9;16(2):417–426. doi: 10.1007/s11605-011-1690-8

Figure 4.

Figure 4

Mobilization of the esophageal fat pad and identification of the GEJ. To facilitate precise identification of the GEJ and prevent inadvertent placement of the fundoplication around tubularized proximal stomach, the esophageal fat pad is carefully dissected from the anterior surface of the stomach, taking care to preserve the integrity of the anterior and posterior vagal nerves. This dissection is carried posteriorly, staying close to the esophagus, to create a retroesophageal window. (Video 2)