The afferent loop is seen below and the efferent is up. The surgeon resected the stomach, segments of duodenum and esophagus, keeping a margin of 2 cm. free of neoplasic tissue. The duodenal stump was closed with a linear stapler. There were resected regional lymphatic nodes, corresponding to R2 resection. Once performed the gastrectomy, it was develop an esophagus jejunumanastomosis termino lateral, using a circular stapler. It was performed a Roux-en Y of jejunum 50 cm distal to the esophagus jejunum anastomosis, using GIA linear stapler. The post surgical recovery was excellent.
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