PMC5244873_01
External images showing (A) the presternal jejunal bypass and (B) endoscopic transillumination.
CG-CGCR160151F001.jpg
PMC5244873_01_CG-CGCR160151F001.jpg
F1
On physical examination, the subcutaneous bulge corresponding to the esophageal substitute was visible, and the patient admitted to help the passage of the bolus by manual massage over the sternum (Figure 1).
Endoscopy showing (A) the redundant presternal jejunal loop and (B) the stenotic jejunogastric anastomosis.
CG-CGCR160151F002.jpg
PMC5244873_01_CG-CGCR160151F002.jpg
F2
An upper gastrointestinal endoscopy with a pediatric endoscope showed a widely patent esophagojejunal anastomosis; the transposed antethoracic jejunum had a tortuous course, and the jejunogastric anastomosis was stenotic (Figure 2).
PMC5244873_02