All patients will be followed one week after discharge and at 3-month intervals for the first two years. Routine clinical examination, hemogram and liver function tests will be done in all patients. Dysphagia will be assessed with barium swallow and esophagoscopy. Anastomotic strictures will be dilated with endoscopic or by a Foley catheter balloon (This technique has been adapted for home based self dilatation) (10).