Morbid obesity with achalasia: a surgical challenge.
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.
Hagen
Monika E
ME
Center for the Future of Surgery, Division of Minimally Invasive Surgery, University of California San Diego, San Diego, CA, USA. monikahagen@aol.com
Sedrak
Micheal
M
Wagner
Oliver J
OJ
Jacobsen
Garth
G
Talamini
Mark
M
Horgan
Santiago
S
D000368:Aged; D015897:Comorbidity; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004931:Esophageal Achalasia / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery*; D012371:Robotics