Laparoscopic Heller Myotomy and Dor Fundoplication for the Treatment of Esophageal Achalasia After Sleeve Gastrectomy-a Video Vignette.

ABSTRACT:

Purpose

Esophageal dysmotility and disorders of the lower esophageal sphincter are well documented in morbidly obese patients. Esophageal achalasia has been reported in up to 1% of obese patients but the development of such esophageal motility disorder after laparoscopic sleeve gastrectomy (LSG) is extremely rare. The purpose of this video was to demonstrate the management of a type II esophageal achalasia diagnosed in a 46-year-old female patient 4-year after LSG.

Materials and methods

An intraoperative video has been anonymized and edited to demonstrate the feasibility of laparoscopic Heller myotomy and anterior Dor fundoplication on the mentioned patient.

Results

The operation started with the section of the perigastric adhesions. Proceeding in a clockwise directio

SUBMITTER: Aiolfi A 

PROVIDER: S-EPMC7921065 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature