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Schematic representation of the Parisi technique during reconstruction. (A) The first loop is made by choosing a jejunal limb that is anastomosed with the esophagus. (B) A second loop is identified downstream to perform the jejuno-jejunal anastomosis. (C) The two anastomoses are divided by simply firing the mechanical stapler, converting the double loop in an antecolic Roux en-Y procedure.
