Pseudoachalasia as a late complication of gastric wrap performed for morbid obesity: report of a case.
A 66-year-old woman presented with progressive dysphagia of 10 years' duration. She had undergone a Teflon gastric wrap operation for obesity 20 years earlier. Endoscopic and radiological examinations showed a dilated tortuous esophagus and a contracted stomach. The esophageal manometry findings were consistent with achalasia. She underwent an uneventful total gastrectomy, partial distal esophagectomy, and Roux-en-Y esophagojejunal anastomosis. When last seen, 2 months after her operation, she was not suffering from dysphagia. This case report serves to demonstrate that gastric reservoir wrapping is associated with significant morbidity.
Awad
Ziad T
ZT
Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 North 30th Street, Omaha, NE 68131, USA.
Selima
Mohamed A
MA
Filipi
Charles J
CJ
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D004931:Esophageal Achalasia / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D016629:Esophagectomy; D005260:Female; D005743:Gastrectomy; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery; D013997:Time Factors