Michael Latzko, MD, Ziad Awad, MD, Bestoun Ahmed, MD. University of Florida
A minimally invasive Ivor-Lewis esophagectomy was performed for esophageal cancer in a patient with a previous gastric bypass. An invasive adenocarcinoma located in the distal thoracic esophagus was discovered on endoscopy 5 years post gastric bypass necessitating an excision of the thoracic esophagus and the gastric pouch. The remnant stomach was fashioned into a gastric conduit, and reconstruction was performed using a circular stapled thoracic esophagogastric anastamosis.