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Ann Thorac Surg 2006;82:1910-1913
© 2006 The Society of Thoracic Surgeons

Case Reports

Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy after Roux-en-Y Gastric Bypass

Ninh T. Nguyen, MD*, Cam-Ly Tran, MD, Dmitri V. Gelfand, MD, Esteban Varela, MD, Ken Chang, MD, Michael Stamos, MD, Samuel E. Wilson, MD

Department of Surgery, University of California Irvine Medical Center, Orange, California

Accepted for publication February 22, 2006.

* Address correspondence to Dr Nguyen, Department of Surgery, University of California Irvine Medical Center, Orange, CA 92868. (Email: ninhn{at}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.






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