Morbid obesity with achalasia: A surgical challenge

Monika E. Hagen, Micheal Sedrak, Oliver J. Wagner, Garth Jacobsen, Mark Talamini, Santiago Horgan

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)1456-1458
Number of pages3
JournalObesity Surgery
Volume20
Issue number10
DOIs
StatePublished - Oct 2010

Keywords

  • Achalasia
  • Gastric sleeve resection
  • Myotomy
  • Obesity
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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