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Fig. 1 | BMC Surgery

Fig. 1

From: Evaluation of resection of the gastroesophageal junction and jejunal interposition (Merendino procedure) as a rescue procedure in patients with a failed redo antireflux procedure. A single-center experience

Fig. 1

The surgical procedure of merendino. a: After division of the distal esophagus and the fundus of the stomach, a 30 cm long pedunculated jejunal segment is prepared [1] and drawn upwards through the transverse mesocolon (arrow). b: The jejunal segment is hand-sutured end to side to the distal esofagus [2] and end to side to the minor curvature of the stomach [3], in an isoperistaltic fashion [4]. c: A partial anterior fundoplication is created by use of the most oral portion of the major curvature of the remaining stomach [5]

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BMC Surgery

ISSN: 1471-2482

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