The gastric graft is mostly used to establish the gastrointestinal continuity following esophagectomy. Graft ischemia is a feared surgical complication which occurs during esophageal reconstruction. Multiple methods have intraoperatively been used to evaluate the graft blood supply. The appropriate management of graft ischemia is conditioned by the timely diagnosis. Various strategies have been described to deal with graft ischemia. However the best way remains the prevention
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