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Updated: Jul 19, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Laparoscopic and thoracoscopic Ivor Lewis esophagectomy after Roux-en-Y gastric bypass
Ninh T Nguyen1, Cam-Ly Tran, Dmitri V Gelfand
1Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA. ninhn@uci.edu
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.
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