Stapled anastomosis: At least 5 cm of the mobilized stomach will be placed in the neck. Three interrupted seromuscular sutures will be taken between the posterior wall of the esophagus and anterior wall of stomach well away from the gastric staple line. A 1.5 cm gastrotomy will be made. Two stay sutures will then be taken, one at the anterior corner of the esophagus and another between the posterior corner of esophagus and the middle of the gastrotomy. These stay sutures will be retracted downwards as the stapler device (using Endopath, EZ45 Endoscopic Linear Cutter) will be introduced, the thinner portion into the stomach and the thicker staple-bearing portion into the esophagus. The staple cartridge will then be rotated so that the posterior wall of the esophagus and the anterior wall of the stomach will align in a parallel manner, keeping the site of the anastomosis well away from the gastric staple suture line and fire the stapler. A 16F nasogastric tube will be placed across the anastomosis into the intrathoracic stomach, and the anterior edges of the gastrotomy and open esophagus will be approximated in two layers with interrupted 3-0 silk.