Esophageal reconstruction with remnant stomach after distal gastrectomy

At this stage of the operation, no demarcation line was detected (Fig. 1). Because the gross appearance of the stomach seemed to be normal, we decided to preserve the remnant stomach and perform esophagogastrostomy in the right hemithorax. Because dense adhesions were present as a result of the previous operation, we planned to use jejunum for reconstruction to avoid organ injuries that might occur during mobilization of the colon.