Roux-en-Y duodenal diversion after Ivor Lewis esophagectomy, with video

Abstract Gastroesophageal reflux is a frequent functional complaint after Ivor Lewis esophagectomy intervention, which can affect up to 40 % of patients. Roux-en-Y duodenal bypass is a valuable option to treat gastroesophageal reflux disease in these patients when the medical treatment is ineffective because it treats both acid and biliary reflux. We only propose this operation to patients who have an impaired quality of life despite a well conducted medical treatment. After Ivor Lewis intervention, we suggest a gastrojejunostomy on the gastroplasty, on a 70 cm alimentary limb. No vagotomy needs to be performed since the vagus nerves are cut during esophagectomy. This video shows the realization of the Roux-en-Y duodenal diversion after Ivor Lewis esophagectomy.