Heller oesophagomyotomy as treatment for achalasia after gastric bypass for morbid obesity

Ann R Coll Surg Engl. 2016 Jan;98(1):e3-5. doi: 10.1308/rcsann.2016.0006.

Abstract

When achalasia is unrecognised during the preoperative phase in patients who have undergone bariatric procedures, a late Heller oesophagomyotomy may be used as the treatment modality to prevent the development of megaoesophagus. We present the case of a 66-year-old man with achalasia 3 years after a Roux-en-Y gastric bypass procedure.

Keywords: Achalasia; Heller myotomy; Obesity; Roux-en-Y gastric bypass.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Endoscopy, Gastrointestinal / methods
  • Esophageal Achalasia / diagnosis
  • Esophageal Achalasia / etiology
  • Esophageal Achalasia / surgery*
  • Esophageal Sphincter, Lower / surgery*
  • Follow-Up Studies
  • Gastric Bypass / adverse effects*
  • Humans
  • Laparoscopy / methods*
  • Male
  • Obesity, Morbid / surgery*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*