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Updated: Aug 13, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Endoscopic stapling technique for redundant free jejunal interposition graft
C A Gutschow1, H Schäfer, K T E Beckurts
1Department of Visceral and Vascular Surgery, University of Cologne, Germany.
Abstract:
Dysphagia may occur after reconstruction of the cervical esophagus by jejunal interposition. It may be caused by redundancy and subsequent development of a diverticulum. The present report relates to the case of a patient who developed complete aphagia 2 months after surgery and was treated transorally by division of a common wall between diverticulum and descending jejunal limb with the use of an endoscopic stapling device. The patient started swallowing the first postoperative day and remained able to take oral food at follow-up.

