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Achalasia 5 years following Roux-en-y gastric bypass.

Torghabeh MH, Afaneh C, Saif T, Dakin GF - J Minim Access Surg (2015 Jul-Sep)

Bottom Line: Oesophageal achalasia is a rare, but serious condition in which the motility of the lower oesophageal sphincter (LES) is inhibited.This disorder of idiopathic aetiology complicates the peristaltic function and relaxation of the LES that may cause symptoms such as dysphagia, epigastric pain, and regurgitation of an obstructed food.The role of performing a fundoplication in these patients remains to be elucidated.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, USA.

ABSTRACT
Oesophageal achalasia is a rare, but serious condition in which the motility of the lower oesophageal sphincter (LES) is inhibited. This disorder of idiopathic aetiology complicates the peristaltic function and relaxation of the LES that may cause symptoms such as dysphagia, epigastric pain, and regurgitation of an obstructed food. The following case describes achalasia in a patient 5 years following a laparoscopic Roux-en-Y gastric bypass (RYGB). The patient underwent a laparoscopic Heller myotomy without a fundoplication. Although achalasia seems to be a rare occurrence in obese patients, this is the third case documented in a patient who previously had an RYGB. The role of performing a fundoplication in these patients remains to be elucidated.

No MeSH data available.


Related in: MedlinePlus

The upper gastrointestinal series at 43 months post-operatively illustrates recurrent narrowing of the distal oesophagus and distal dilatation suspicious for recurrent achalasia
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Figure 2: The upper gastrointestinal series at 43 months post-operatively illustrates recurrent narrowing of the distal oesophagus and distal dilatation suspicious for recurrent achalasia

Mentions: She was seen 43 months again post-operatively, presenting with symptoms of dysphagia and reflux. A UGI illustrated oesophageal dilatation, narrowing at the GEJ, and delayed oesophageal emptying into the stomach [Figure 2]. At present, she is scheduled to undergo oesophageal manometry and pH testing to assess for the recurrent achalasia.


Achalasia 5 years following Roux-en-y gastric bypass.

Torghabeh MH, Afaneh C, Saif T, Dakin GF - J Minim Access Surg (2015 Jul-Sep)

The upper gastrointestinal series at 43 months post-operatively illustrates recurrent narrowing of the distal oesophagus and distal dilatation suspicious for recurrent achalasia
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499927&req=5

Figure 2: The upper gastrointestinal series at 43 months post-operatively illustrates recurrent narrowing of the distal oesophagus and distal dilatation suspicious for recurrent achalasia
Mentions: She was seen 43 months again post-operatively, presenting with symptoms of dysphagia and reflux. A UGI illustrated oesophageal dilatation, narrowing at the GEJ, and delayed oesophageal emptying into the stomach [Figure 2]. At present, she is scheduled to undergo oesophageal manometry and pH testing to assess for the recurrent achalasia.

Bottom Line: Oesophageal achalasia is a rare, but serious condition in which the motility of the lower oesophageal sphincter (LES) is inhibited.This disorder of idiopathic aetiology complicates the peristaltic function and relaxation of the LES that may cause symptoms such as dysphagia, epigastric pain, and regurgitation of an obstructed food.The role of performing a fundoplication in these patients remains to be elucidated.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, USA.

ABSTRACT
Oesophageal achalasia is a rare, but serious condition in which the motility of the lower oesophageal sphincter (LES) is inhibited. This disorder of idiopathic aetiology complicates the peristaltic function and relaxation of the LES that may cause symptoms such as dysphagia, epigastric pain, and regurgitation of an obstructed food. The following case describes achalasia in a patient 5 years following a laparoscopic Roux-en-Y gastric bypass (RYGB). The patient underwent a laparoscopic Heller myotomy without a fundoplication. Although achalasia seems to be a rare occurrence in obese patients, this is the third case documented in a patient who previously had an RYGB. The role of performing a fundoplication in these patients remains to be elucidated.

No MeSH data available.


Related in: MedlinePlus