Laparoscopic Upper Polar Esophagogastrectomy with Gastroplasty Using Gastric Remnant After Roux-en-Y Gastric Bypass for Recurrent Gastroesophageal Junction Adenocarcinoma.

Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of severe obesity. Oncological surgery for patients who have had a prior Roux-en-Y gastric bypass with esophagogastric cancer poses technical challenges, mainly because of the altered anatomy. We present in this video an upper polar esophagogastrectomy with gastroplasty on a gastric remnant and the reversal of Roux-en-Y gastric bypass performed in a 55-year-old woman with an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction. As far as we know, there is no report about the surgical management of an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction in a patient with altered anatomy due to RYGB and upper polar gastrectomy.