Abstract
: Obesity is increasing worldwide. At the same time, the prevalence of esophageal cancer markedly increased in Western countries during recent decades. Several studies on the influence of a high body mass index (BMI) on the postoperative course and survival after esophagectomy have shown contradictory results. This study is a narrative overview of the literature on esophagectomy outcomes in obese patients. Obesity is technically challenging to surgeons mostly in complex procedures. Although it cannot be an independent contraindication to esophagectomy visceral fat seems to worsen perioperative morbidity; therefore, surgeons should ensure meticulous management of co-morbidities and maintain a low threshold for the investigation and management of complications.
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