Esophageal Bypass Using a Y-Shaped Gastric Tube for Advanced Esophageal Cancer: Transabdominal Placement of the Decompression Tube Yoshifumi Baba, MD,

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Esophageal Bypass Using a Y-Shaped Gastric Tube for Advanced Esophageal Cancer: Transabdominal Placement of the Decompression Tube Yoshifumi Baba, MD, PhD, FACS, Takahiko Akiyama, MD, Keisuke Kosumi, MD, Kazuto Harada, MD, PhD, Hironobu Shigaki, MD, PhD, Masaaki Iwatsuki, MD, PhD, Yasuo Sakamoto, MD, PhD, FACS, Naoya Yoshida, MD, PhD, FACS, Masayuki Watanabe, MD, PhD, FACS, Hideo Baba, MD, PhD, FACS Journal of the American College of Surgeons Volume 221, Issue 5, Pages e87-e90 (November 2015) DOI: 10.1016/j.jamcollsurg.2015.07.445 Copyright © 2015 American College of Surgeons Terms and Conditions

Figure 1 (A) Schematic of the Y-shaped gastric tube followed by antegrade insertion of the decompression tube. (B) Fluoroscopy showing infection around the esophageal stump. Journal of the American College of Surgeons 2015 221, e87-e90DOI: (10.1016/j.jamcollsurg.2015.07.445) Copyright © 2015 American College of Surgeons Terms and Conditions

Figure 2 (A) Schematic showing the construction of the Y-shaped gastric tube. (B) Photograph showing gastric wall penetration using a circular stapler. (C) Schematic of the Y-shaped gastric tube followed by retrograde insertion of the decompression tube. (D) Photograph showing insertion of the decompression tube on the lesser curvature of the stomach. Journal of the American College of Surgeons 2015 221, e87-e90DOI: (10.1016/j.jamcollsurg.2015.07.445) Copyright © 2015 American College of Surgeons Terms and Conditions