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The anterior wall of the anastomosis was completed with a second layer of 3-0 slik vertical sutures. The gastric tube was tacked to the mediastinal pleura to take tension off the anastomosis. Chest tubes were placed and the chest was closed in standard fashion. Esophagogram on post-op day 7 showed no leak. The study was done as a swallow first with
gastrografin, followed by thin barium when the first contrast showed no
evidence of leak. The final pathology was T4 (diaphragm invasion) N1
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