Hunt-Lawrence pouch for esophagojejunostomy

To construct the Hunt-Lawrence pouch, the distal portion of the afferent limb measuring 20 cm in length is brought up posteriorly to the colon. The GIA stapler is used to perform a side-to-side anastomosis at the antimesenteric border of the bowel. The EEA device is then used for the anastomosis between the pouch and the esophagus. The completed pouch should measure approximately 20 cm in length. A jejunojejunostomy is constructed approximately 20 cm below the pouch to reestablish intestinal continuity.