Morbid Obesity with Achalasia: A Surgical Challenge |
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Authors: | Monika E Hagen Micheal Sedrak Oliver J Wagner Garth Jacobsen Mark Talamini Santiago Horgan |
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Institution: | (1) Center for the Future of Surgery, Division of Minimally Invasive Surgery, University of California San Diego, San Diego, CA, USA;(2) Center for the Future of Surgery, Department of Surgery, University of California San Diego, 200 West Arbor Drive, San Diego, CA 92108, USA |
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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. |
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