HOW I DO IT Modi®ed Technique for Esophagojejunostomy After Total Gastrectomy

Gastric cancer is worldwide one of the most common causes of cancer death. Total gastrectomy is the gold standard treatment for gastric carcinomas originating in the gastric body or fundus. There have been important decrease in surgical morbidity and mortality after total gastrectomies. However, some major complications are related to the surgical technique. Esophagojejunostomy leaks are serious complications that, if not recognized and managed expeditiously, can be life-threatening. Esophagojejunostomy is the most common type of reconstruction after total gastrectomy but there are several ways to perform it [1±6]. The authors describe a modi®ed technique for an easier esophagojejunostomy after total gastrectomy.