Total gastrectomy with esophagojejunoduodenal anastomosis reestablishing duodenal circuit. A modified Roux-en-Y anastomosis.

A simple modified Roux-en-Y anastomosis--esophagojejunoduodenostomy with circuit duodenal loop (circuit Roux-en-Y anastomosis) after total gastrectomy--has been performed in ten consecutive patients without any operative death or complications. The simplicity and safety of this procedure may well be more worthwhile than other forms of alimentary tract reconstruction.