Merendino's procedure for the resection of early adenocarcinoma in Barrett's Esophagus

Introduction: Due to the endoscopic surveillance programs in patients with known Barrett's esophagus, early stage esophageal adenocarcinoma is being diagnosed with increasing frequency. The presence of lymphatic spread is the most important prognostic factor after complete tumor resection in patients with esophageal adenocarcinoma therefore radical esophagectomy and esophagogastrectomy with 2 field lymphadenectomy are the recommended treatment options in such patients. The clinical results (long-term survival) are favorable following radical surgery however the surgical intervention itself has considerable morbi…