After the gastrojejunal anastomosis was established as in the previously described Billroth II reconstruction, the proximal part of the jejunum was transected using the linear stapler. In case of an uncut Roux-en-Y reconstruction, a non-bladed stapler was used instead. Two small incisions were made on the antimesenteric border of the distal end of the biliopancreatic limb and on the je-junal Roux limb, 30 cm distal from the gastrojejunal anastomosis. Finally, a side-to-side jejunojejunostomy was constructed using a linear stapler in the same manner as the Braun anastomosis.