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Intestine - Total Gastrectomy with Esophagojejunostomy

The following video demonstrates the medical management of total gastrectomy with esophagojejunostomy. These are the two different types of esophago jejunostomies. This is a simple Roux-en-Y esophagojejunostomy. It has a short blind loop and a patent loop of jejunum. We will now see the endoscopic view of a simple Roux-en-Y esophagojejunostomy in a 73 year old female patient who underwent total gastrectomy for the management of gastric adenocarcinoma. The scope is introduced into the esophagus. One can see the esophago-jejunal anastomosis with the blind loop on the left and the patent loop on the right. Initial attempt was made to explore the blind loop followed by exploring the patent loop of jejunum. Here the endoscope is pushed through the patent loop followed by its withdrawal. ...
 

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