Abstract | INTRODUCTION:
Morbid obesity and achalasia may coexist in the same patient. The surgical management of the morbidly obese patient with achalasia is complex, and the most effective treatment still remains controversial. The goal of our report is to provide our evidence-based approach for the surgical management of the patient with achalasia and morbid obesity. RESULTS: CONCLUSIONS:
Achalasia and obesity can coexist, albeit infrequently. A laparoscopic Heller myotomy with a LRYGB allows the simultaneous treatment of both diseases. When a morbidly obese patient with achalasia chooses to have a myotomy alone and not a LRYGB, a thorough discussion of the risks and benefits should occur and the autonomy of the patient's decision-making should be respected.
|
Authors | P Marco Fisichella, George Orthopoulos, Amy Holmstrom, Marco G Patti |
Journal | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
(J Gastrointest Surg)
Vol. 19
Issue 6
Pg. 1139-43
(Jun 2015)
ISSN: 1873-4626 [Electronic] United States |
PMID | 25759076
(Publication Type: Case Reports, Journal Article, Review)
|
Topics |
- Esophageal Achalasia
(complications, surgery)
- Female
- Fundoplication
(methods)
- Gastric Bypass
(methods)
- Humans
- Laparoscopy
- Male
- Middle Aged
- Obesity, Morbid
(complications, surgery)
|