PMC10318301_01
Preoperative findings. (A) Contrast-enhanced CT scan showed that the cardiac wall was thickened and enhanced. Small lymph node involvement was detected. (B) Gastroscopy confirmed the presence of a narrow anastomotic orifice between the esophagus and stomach, while the mucosa near the anastomotic orifice appeared smooth and intact. The diameter of the stenosis was about 3 mm. (C,D) Intraoperative pictures of ROSF surgery (side overlap anastomosis with linear stapler and muscle flap suture). (E,F) Schematic diagram illustrating the key steps of ROSF. CT, computed tomography; ROSF, right-sided overlap with single flap valvulopasty.
fsurg-10-1190301-g001.jpg
PMC10318301_01_fsurg-10-1190301-g001.jpg
F1
Preoperative computed tomography (CT) and gastroscopy confirmed AEG with the involvement of small perigastric lymph nodes (Figure 1A). Anastomotic stenosis was revealed through endoscopy (Figure 1B).