Laparoscopic Heller myotomy after Roux-en-Y gastric bypass

ConclusionDevelopment of achalasia in obese patients after RYGB is rare. The presence of pathognomonic symptoms should always raise clinical suspicion, while HRM is essential to confirm the diagnosis. To date, there is no robust evidence for the more appropriate treatment of esophageal achalasia after RYGB. In these patients, LHM seems feasible, safe, and effective in symptom relief.

http://link.springer.com/10.1007/s10353-019-0571-3

Source: European Surgery - February 13, 2019 Category: Surgery Source Type: research