Afif N. Kulaylat, MD, Sunny Sahajwani, MD, MHS, Kevin F

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Presentation transcript:

Reconstructive options for gastroesophageal junction adenocarcinoma after Roux-en-Y gastric bypass Afif N. Kulaylat, MD, Sunny Sahajwani, MD, MHS, Kevin F. Staveley-O’Carroll, MD, PhD, Jussuf T. Kaifi, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 5, Pages 1296-1298 (November 2013) DOI: 10.1016/j.jtcvs.2013.07.007 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Original Roux-en-Y gastric bypass anatomy with location of gastroesophageal junction cancer for each case, followed by resected specimen and final reconstruction anatomy. Case 1: A, cervical esophagus; B, intrathoracic esophagus; C, gastric pouch; D, alimentary jejunal limb of the gastrojejunostomy, E, alimentary jejunal limb; F, alimentary jejunal limb of the jejunojejunostomy; G, biliopancreatic jejunal limb of the jejunojejunostomy; H, gastric remnant. Case 2: A, intrathoracic esophagus; B, distal esophagus; C, alimentary jejunal limb of the gastrojejunostomy; D, gastric remnant; E, Pars I duodeni; F, biliopancreatic jejunal limb of the jejunojejunostomy; G, alimentary jejunal limb of the jejunojejunostomy. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1296-1298DOI: (10.1016/j.jtcvs.2013.07.007) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions