Morbid Obesity with Achalasia: A Surgical ChallengeReport as inadecuate




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Obesity Surgery

, Volume 20, Issue 10, pp 1456–1458

First Online: 07 April 2010

Abstract

Achalasia is a relatively rare medical condition that is classically not associated with obesity. The surgical treatment of a simultaneous occurrence of these two diseases requires careful consideration, and only a few reports can be found in the literature combining a Heller myotomy with gastric bypass, duodenal switch, or gastric banding. We report the case of a 69-year-old female patient with early achalasia and obesity who underwent simultaneous laparoscopic gastric sleeve resection and robotic Heller myotomy. No intra- or postoperative complications occurred. A follow-up at 6 weeks showed a significant weight loss and resolved symptoms of achalasia. The case illustrates that a simultaneous gastric sleeve resection and robotic Heller myotomy might be an option for the treatment of concurrent obesity and achalasia.

KeywordsObesity Achalasia Myotomy Gastric sleeve resection Robotic surgery  Download fulltext PDF



Author: Monika E. Hagen - Micheal Sedrak - Oliver J. Wagner - Garth Jacobsen - Mark Talamini - Santiago Horgan

Source: https://link.springer.com/article/10.1007/s11695-010-0134-y







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