Laparoscopic and thoracoscopic Ivor Lewis esophagectomy after Roux-en-Y gastric bypass.
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.
Nguyen
Ninh T
NT
Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA. ninhn@uci.edu
Tran
Cam-Ly
CL
Gelfand
Dmitri V
DV
Varela
Esteban
E
Chang
Ken
K
Stamos
Michael
M
Wilson
Samuel E
SE
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