Pyloroplasty Versus No Pyloroplasty in Patients Undergoing Esophagectomy

Inclusion Criteria: * Subjects must be willing to undergo esophagectomy for benign or malignant condition * Women and men 18-85 years of age * Eastern Cooperative Oncology Group (ECOG) performance status 0-2 * Stomach is used as conduit Exclusion Criteria: * Previous operations of the pylorus * Previous gastric resection * Previous gastric bypass * Patients who are unable to tolerate surgery * Participants may be enrolled and randomized on the study but may be excluded at the time of the surgery because of findings by the surgeon that preclude performing esophagectomy, or using stomach as a conduit or findings which preclude following the randomized arm. * Age \<18 years of age or \> 85 years of age * BMI \> 50 * Liver cirrhosis or liver failure at physician's discretion