title: Laparoscopic and thoracoscopic Ivor Lewis esophagectomy after Roux-en-Y gastric bypass.
abstract: Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of morbid obesity. Esophagectomy in patients with a history of Roux-en-Y gastric bypass presents a difficult technical challenge for the surgeon. In this report we describe a technique of minimally invasive Ivor Lewis esophagogastrectomy in a patient who had had an open Roux-en-Y gastric bypass. Minimally invasive esophagectomy was performed with resection of the Roux limb using the gastric remnant as the conduit for gastrointestinal reconstruction.
authors.affiliation: Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA. ninhn@uci.edu
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
authors.forename: Cam-Ly
authors.initials: CL
authors.lastname: Tran
authors.forename: Dmitri V
authors.initials: DV
authors.lastname: Gelfand
authors.forename: Esteban
authors.initials: E
authors.lastname: Varela
authors.forename: Ken
authors.initials: K
authors.lastname: Chang
authors.forename: Michael
authors.initials: M
authors.lastname: Stamos
authors.forename: Samuel E
authors.initials: SE
authors.lastname: Wilson
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology / Q000601:surgery*; D001471:Barrett Esophagus / Q000209:etiology; D004938:Esophageal Neoplasms / Q000209:etiology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D015390:Gastric Bypass; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery; D012189:Retrospective Studies; D013906:Thoracoscopy