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Literature DB >> 17608270

Simultaneous surgical management of achalasia and morbid obesity.

Robert W O'Rourke¹, Blair A Jobe, Donn H Spight, John G Hunter.

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.

Entities: Disease Species

Mesh：

Year: 2007 PMID： 17608270 DOI： 10.1007/s11695-007-9095-1

Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 4.129

14 in total

1. The effects of laparoscopic adjustable gastric banding on the proximal pouch and the esophagus.

Authors: D Peternac; R Hauser; M Weber; O Schöb
Journal: Obes Surg Date: 2001-02 Impact factor: 4.129

2. A model for gastric banding in the treatment of morbid obesity: the effect of chronic partial gastric outlet obstruction on esophageal physiology.

Authors: Robert W O'Rourke; Ann K Seltman; Eugene Y Chang; Kevin M Reavis; Brian S Diggs; John G Hunter; Blair A Jobe
Journal: Ann Surg Date: 2006-11 Impact factor: 12.969

3. Treatment of morbid obesity with laparoscopic adjustable gastric banding affects esophageal motility.

Authors: H G Weiss; H Nehoda; B Labeck; M D Peer-Kühberger; P Klingler; M Gadenstätter; F Aigner; G J Wetscher
Journal: Am J Surg Date: 2000-12 Impact factor: 2.565

4. 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.

Authors: D R Urbach; P D Hansen; Y S Khajanchee; L L Swanstrom
Journal: J Gastrointest Surg Date: 2001 Mar-Apr Impact factor: 3.452

Simultaneous surgical management of achalasia and morbid obesity.

1. The effects of laparoscopic adjustable gastric banding on the proximal pouch and the esophagus.

2. A model for gastric banding in the treatment of morbid obesity: the effect of chronic partial gastric outlet obstruction on esophageal physiology.

3. Treatment of morbid obesity with laparoscopic adjustable gastric banding affects esophageal motility.

4. 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.

5. Manometric abnormalities and gastroesophageal reflux disease in the morbidly obese.

6. Early results of laparoscopic Heller myotomy do not necessarily predict long-term outcome.

7. Achalasia in the context of morbid obesity: a rare but important association.

8. Long-term results in surgically managed esophageal achalasia.

9. Perioperative morbidity associated with bariatric surgery: an academic center experience.

10. The duodenal switch operation for the treatment of morbid obesity.

Review 1. The surgical management of achalasia in the morbid obese patient.

2. Morbid obesity with achalasia: a surgical challenge.

3. Achalasia after bariatric Roux-en-Y gastric bypass surgery reversal.