Creation of esophagojejunostomy

To create the esophagojejunostomy, the anvil of a number 25 end-to-end anastomosis (EEA) stapling device is secured in the distal esophagus, and a retrocolic Roux-en-Y esophagojejunostomy is fashioned through the transverse mesocolon using a jejunal limb approximately 40 cm from the ligament of Treitz.