Abstract
Achalasia presenting in the context of morbid obesity is rare. The case is presented of a woman with achalasia and morbid obesity who was treated with simultaneous laparoscopic esophageal myotomy and gastric bypass. The sparse literature addressing these rare patients is reviewed and management considerations discussed. Simultaneous laparoscopic esophageal myotomy and gastric bypass is safe, feasible and provides good results.
Similar content being viewed by others
References
Hong D, Khajanchee YS, Pereira N, et al. Manometric abnormalities and gastroesophageal reflux disease in the morbidly obese. Obes Surg 2004; 14: 744–.
Kaufman JA, Pellegrini CA, Oelschlager BK. Laparoscopic Heller myotomy and Roux-en-Y gastric bypass: a novel operation for the obese patient with achalasia. J Laparoendosc Adv Surg Tech A 2005; 15: 391–.
Almogy G, Anthone GJ, Crookes PF. Achalasia in the context of morbid obesity: a rare but important association. Obes Surg 2003; 13: 896–00.
Cho M, Kaidar-Person O, Szomstein S et al. Achalasia after vertical banded gastroplasty for morbid obesity: A case report. Surg Laparosc Endosc Percutan Tech 2006; 16: 161–.
O’Rourke RW, Andrus J, Diggs B et al. Peri-operative morbidity aassociated with bariatric surgery: An academic center experience. Arch Surg 2006; 141: 262–0.
Kim WW, Gagner M, Kini S e al. Laparoscopic vs. open biliopancreatic diversion with duodenal switch: a comparative study. J Gastrointest Surg 2003, 7: 552–.
Anthone GJ, Lord RV, DeMeester TR et al. The duodenal switch operation for the treatment of morbid obesity. Ann Surg 2003; 238: 618–7.
Nguyen NT, Silver M, Robinson M et al. Results of a national audit of bariatric surgery performed at academic centers: a 2004 University Health System Consortium Benchmarking Project. Arch Surg 2006; 141: 445–.
Peternac D, Hauser R, Weber M et al. The effects of laparoscopic adjustable gastric banding on the proximal pouch and the esophagus. Obes Surg 2001; 11: 76–6.
Weiss HG, Nehoda H, Labeck B et al. Treatment of morbid obesity with laparoscopic adjustable gastric banding affects esophageal motility. Am J Surg 2000; 180: 479–2.
Bloomston M, Durkin A, Boyce HW et al. Early results of laparoscopic Heller myotomy do not necessarily predict long-term outcome. Am J Surg 2004; 187: 403–.
Malthaner RA, Tood TR, Miller L et al. Long-term results in surgically managed esophageal achalasia. Ann Thorac Sur 1994; 58: 1343–.
O’Rourke RW, Seltman AK, Reavis K et al. A model for gastric banding in the treatment of morbid obesity: The effect of chronic partial gastric outlet obstruction on esophageal physiology. Ann Surg 2006; 244: 723–3.
Urbach DR, Hansen PD, Khajanchee YS et al. A decision analysis of the optimal initial approach to achalasia: laparoscopic Heller myotomy with partial fundoplication, thoracoscopic Heller myotomy, pneumatic dilatation, or botulinum toxin injection. J Gastrointest Surg 2001; 5: 192–05.
Author information
Authors and Affiliations
Corresponding author
Additional information
RWO receives support from the Society of American Gastrointestinal and Endoscopic Surgeons, the Medical Research Foundation of Oregon, and from an American Surgical Association Foundation Fellowship Award.
Rights and permissions
About this article
Cite this article
O’Rourke, R.W., Jobe, B.A., Spight, D.H. et al. Simultaneous Surgical Management of Achalasia and Morbid Obesity. OBES SURG 17, 547–549 (2007). https://doi.org/10.1007/s11695-007-9095-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-007-9095-1