title: Surgical Management of Achalasia in a Patient With Previous Gastric Bypass.
abstract: Patients with previous foregut surgery who develop additional foregut pathology can be a challenge. Those who have formerly undergone gastric bypass and later develop achalasia are at increased risk related to previous surgery. In this case report, we describe an alternative approach for the Dor fundoplication after laparoscopic Heller myotomy in the setting of the altered anatomy. The technique and advantages of this approach are detailed in the discussion of this patient.
authors.affiliation: From the *Georgetown University School of Medicine, Washington, DC USA; and †Division of Thoracic Surgery, Medstar Georgetown University Hospital, Washington, DC USA.
authors.forename: Whitney D
authors.initials: WD
authors.lastname: Johnson
authors.forename: M Blair
authors.initials: MB
authors.lastname: Marshall
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods*; D019468:Disease Management; D004931:Esophageal Achalasia / Q000601:surgery*; D005260:Female; D018662:Fundoplication; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome