FIELD: medicine.
SUBSTANCE: gastrectomy and lower thoracic esophagectomy are performed from a supramedian laparotomic approach. A Roux-opened defunctioned small intestinal loop is formed. A mechanical end-to-side oesophagojejunoanastomosis with a 'free' end of the abducent jejunum is formed. An end-to-end jejunoduodenoanastomosis is formed between a duodenal stump and a 'free' end of the jejunum.
EFFECT: forming the oesophagoenteroanastomosis with the duodenal passage recovery.
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