Fig. 4

Photographs taken during surgery illustrate a segment of approximately 12 cm of the intestine, corresponding macroscopically to the jejunum. A reduction in diameter can be observed before the segment of stenosis (a). The subsequent images demonstrate the elimination of this segment, and then the technique used for the reduction of the hypertrophied segment and the joining of the two ends of the intestine (b-d). The proximal diameter had a circumference of 0.5 cm, while the distal side measured 3–4 cm