No abstract

Objectives: To analyze recent nationwide trends in the use of adolescent bariatric surgery and to compare early postoperative outcomes of adolescents and adults undergoing these procedures.

A lthough a variety of surgical techniques exist for esophageal resections, the two most common approaches are the transhiatal esophagectomy and the Ivor Lewis esophagectomy. The choice of the most suitable operation takes into consideration several factors including the location of the tumor; the patient's medical condition, body habitus, prior surgical history, and history of radiation therapy; the organ to be used as a replacement conduit; the limits of node dissection; and finally, the surgeon's preference.Despite evolving techniques and improvements in both the transhiatal and the Ivor Lewis surgical approaches, esophagectomies are complex operations that are associated with significant morbidity and mortality. Furthermore, surgical candidates are often elderly patients with coexisting medical comorbidities including respiratory and cardiovascular diseases. Nationwide, the mortality rates from esophagectomies range from 8% in high-volume centers to as high as 23% in low-volume centers. 1 Therefore, to limit the physiologic stress and inflammatory responses associated with