Disturbed passage of jejunal limb near esophageal hiatus after overlapped esophagojejunostomy following laparoscopic total gastrectomy

Figure 1 Stricture of the jejunal limb before reoperation in case 5. A: Preoperative X-ray examination with contrast medium shows poor passage of contrast medium at the hiatus, jejunal stenosis (approximately 1 cm in length) and jejunal bending at the hiatus, in addition to distal esophageal dilatation; B: Endoscopic luminal examination shows an intact anastomosis and a bent or tortuous efferent jejunal limb, but the scope could be passed through this portion. E: Efferent side; A: Afferent side.