title: Simultaneous surgical management of achalasia and morbid obesity.
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.
authors.affiliation: Department of Surgery - L223A, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. orourkro@ohsu.edu
authors.forename: Robert W
authors.initials: RW
authors.lastname: O'Rourke
authors.forename: Blair A
authors.initials: BA
authors.lastname: Jobe
authors.forename: Donn H
authors.initials: DH
authors.lastname: Spight
authors.forename: John G
authors.initials: JG
authors.lastname: Hunter
mesh_terms: D004931:Esophageal Achalasia / Q000209:etiology / Q000601:surgery*; D049630:Esophageal Sphincter, Lower / Q000601:surgery*; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*