Surgical approaches for achalasia and obesity: a systematic review and patient-level meta-analysis.

ABSTRACT:

Purpose

Synchronous and metachronous presentations of achalasia and obesity are increasingly common. There is limited data to guide the combined or staged surgical approaches to these conditions.

Methods

A systematic review (MEDLINE, Embase, and Web of Science) and patient-level meta-analysis of published cases were performed to examine the most effective surgical approach for patients with synchronous or metachronous presentations of achalasia and obesity.

Results

Thirty-three studies with 93 patients were reviewed. Eighteen patients underwent concurrent achalasia and bariatric surgery, with the most common (n = 12, 72.2%) being laparoscopic Heller's myotomy (LHM) and Roux-en-Y gastric bypass (RYGB). This combination achieved 68.9% excess weight loss and 100% remissi

SUBMITTER: Kunz S 

PROVIDER: S-EPMC10579133 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature