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Achalasia after bariatric Roux-en-Y gastric bypass surgery reversal.

Authors
  • Abu Ghanimeh, Mouhanna1
  • Qasrawi, Ayman2
  • Abughanimeh, Omar2
  • Albadarin, Sakher3
  • Clarkston, Wendell2
  • 1 Division of Gastroenterology, Henry Ford Hospital, Detroit, MI 48202, United States. [email protected] , (United States)
  • 2 Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, MO 64108, United States. , (United States)
  • 3 Division of Gastroenterology, Saint Luke's Hospital of Kansas City, Kansas City, MO 64111, United States. , (United States)
Type
Published Article
Journal
World journal of gastroenterology
Publication Date
Oct 07, 2017
Volume
23
Issue
37
Pages
6902–6906
Identifiers
DOI: 10.3748/wjg.v23.i37.6902
PMID: 29085233
Source
Medline
Keywords
License
Unknown

Abstract

Achalasia is a rare esophageal motility disorder that is characterized by a loss of peristalsis in the distal esophagus and failure of lower esophageal sphincter relaxation. The risk of developing esophageal motility disorders, including achalasia, following bariatric surgery is controversial and differs based on the type of surgery. Most of the reported cases occurred with laparoscopic adjustable gastric banding. To our knowledge, there are only three reported cases of achalasia after Roux-en-Y gastric bypass and no reported cases after revision of the surgery. We present a case of a 70-year-old female who had a previous history of Roux-en-Y gastric bypass with revision. She presented with persistent nausea and regurgitation for one month. Esophagogastroduodenoscopy showed a dilated esophagus without strictures or stenosis. A barium study was performed after the endoscopy and was suggestive of achalasia. Those findings were confirmed by a manometry. The patient was referred for laparoscopic Heller's myotomy.

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