University Hospital Leipzig - CRSLS https://crsls.sls.org MIS Case Reports of the Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 29 Jun 2016 15:35:17 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://crsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-32x32.png University Hospital Leipzig - CRSLS https://crsls.sls.org 32 32 Laparoscopic Approach to Barrett Carcinoma in an Obese Patient https://crsls.sls.org/2014-00132/ https://crsls.sls.org/2014-00132/#respond Sat, 15 Nov 2014 03:20:17 +0000 https://crsls.sls.org/?p=842 Georg Wiltberger, MD, Felix Krenzien, MD, Hans-Michael Hau, MD, Hans-Michael Tautenhahn, Albrecht Hoffmeister, MD, Sven Jonas, MD, Arne Dietrich, MD Department of Visceral, Transplantation, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany (Drs. Wiltberger, Krenzien, Hau, Tautenhahn, Jonas, Dietrich). Department of Medicine, Dermatology and Neurology, Division of Gastroenterology and Rheumatology, University of Leipzig, Leipzig, […]

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]]> Georg Wiltberger, MD, Felix Krenzien, MD, Hans-Michael Hau, MD, Hans-Michael Tautenhahn,
Albrecht Hoffmeister, MD, Sven Jonas, MD, Arne Dietrich, MD

Department of Visceral, Transplantation, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany (Drs. Wiltberger, Krenzien, Hau, Tautenhahn, Jonas, Dietrich).
Department of Medicine, Dermatology and Neurology, Division of Gastroenterology and Rheumatology, University of Leipzig, Leipzig, Germany (Dr. Hoffmeister)ABSTRACT

 

We report an obese patient who was initially scheduled for laparoscopic Roux-en-Y gastric bypass, but who was subsequently diagnosed preoperatively with Barrett carcinoma. After incomplete endoscopic mucosectomy, laparoscopic oncologic resection (transhiatal extended cardia resection) combined with bariatric reconstruction was performed. Sufficient complication management of a small anastomotic leak into the right pleural space was maintained with a combination of video-assisted thoracoscopy and endoscopic clipping of the leak.

Key Words: Barrett carcinoma, Bariatric surgery, LRYGB, Merendino

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