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Ann Thorac Surg 2005;80:1512-1513
© 2005 The Society of Thoracic Surgeons

Case report

Intrathoracic Gastrojejunostomy for Gastric Outlet Obstruction After Ivor Lewis Esophagogastrectomy

Cullen D. Morris, MD a , Francis Owings, MD b , Joseph I. Miller, Jr, MD a , *

a Section of General Thoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
b Department of General Surgery, Crawford W. Long Hospital of Emory University, Atlanta, Georgia

Accepted for publication May 3, 2004.

* Address reprint requests to Dr Miller, 550 Peachtree St, Crawford W. Long Hospital, Medical Office Tower, Atlanta, GA30345 (Email: cullen_morris{at}emoryhealthcare.org).

Gastric outlet obstruction after esophagogastrectomy with a drainage procedure is unusual, but when encountered, its management can be formidable. A Rous-en-Y intrathoracic gastrojejunostomy was created in a 74-year-old woman 2 years after Ivor Lewis esophagogastrectomy for benign disease to treat severe gastric outlet obstruction at the native pylorus.




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