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Laparoscopic and thoracoscopic Ivor Lewis esophagectomy after Roux-en-Y gastric bypass.

Nguyen NT, Tran CL, Gelfand DV, Varela E, Chang K, Stamos M, Wilson SE

Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA. ninhn@uci.edu

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.

Published 25 October 2006 in Ann Thorac Surg, 82(5): 1910-3.
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