MINIMALLY INVASIVE IVOR LEWIS ESOPHAGECTOMY AFTER ROUX-EN-Y DIVERSION FOR RECURRENT GASTROESOPHAGEAL REFLUX DISEASE: IS IT FEASIBLE?
Luca Giulini*1, Deepika Razia1, Sumeet Mittal1,2
1Norton Thoracic Institute, St Joseph’s Hospital and Medical Center, Dignity Health, Phoenix, AZ; 2Creighton University St. Joseph's Hospital and Medical Center, Phoenix, AZ
Roux-en-Y (RNY) gastric bypass for recurrent gastroesophageal reflux disease (GERD) after failed fundoplication is a surgical treatment with demonstrated efficacy. This procedure is indicated in patients who have a long history of GERD, Barrett’s esophagus, or esophageal motility disorders. In some cases, the underlying esophageal disease may progress to a terminal stage, and esophagectomy with gastric pull-up may be indicated.
In this video, we present a minimally invasive Ivor Lewis esophagectomy after RNY. We highlight the surgical technique as well as the importance of gastric bypass instead of gastrectomy with Roux-en-Y gastrojejunostomy when performed as a definite antireflux procedure.
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