Figure 1.

Intracorporeal hand-sewn end-to-side esophagojejunostomy. (A) Transection of the esophagus with ultrasonic coagulating shears between 2 clamps. (B) Transection of the duodenum with an endoscopic linear stapler. (C) The jejunum and esophageal stump attached to each other with seromuscular sutures. (D) A 2 cm wide incision at the antimesenteric side of the jejunum. (E) Suture of the posterior wall using continuous sutures. (F) Suture of the anterior wall using a continuous suture. (G) Strengthening of the seromuscular layer with interrupted sutures. (H) Complete esophagojejunostomy.