Figure 2.
(a) The large jaw of the Endo GIA™ stapler with a 45 mm medium/thick (purple) reload is placed into the enterotomy created on the antimesenteric border of the jejunal Roux limb approximately 6 cm distal to the transection staple line.
(b) The small jaw of the stapler is placed into the esophageal lumen.
(c) The common enterotomy is closed with hand-sewn, interrupted 3-0 silk sutures in a single-layer fashion.
(d) The completed esophagojejunal anastomosis with hand-sewn closure of the common enterotomy.