Carcinoma of the lower third of the oesophagus requires a partial oesophago-gastrectomy via a thoraco-abdominal approach extending onto the abdomen. Before anastomosis, removal of the lesion and up to three-fifths of the stomach may be required.
Prior gastric surgery may result in too little stomach being available for this technique. Hence, a Roux-en-Y loop anastomosis of the jejunum to the oesophagus may be required:
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