2026, Number 4
<< Back Next >>
Acta Med 2026; 24 (4)
Achalasia after gastric bypass
Hernández LCJ
Language: Spanish
References: 5
Page: 467-468
PDF size: 604.50 Kb.
ABSTRACT
Achalasia is a rare esophageal motility disorder that may develop
after bariatric surgery. We present the case of a 50-year-old
woman with morbid obesity, diabetes, and hypertension who
underwent Roux-en-Y gastric bypass. Two years later, she
developed progressive dysphagia and weight loss. Highresolution
manometry confirmed type II achalasia. Pneumatic
dilation was performed with favorable clinical response. At oneyear
follow-up, she remains asymptomatic with stable weight.
This case highlights the need to consider esophageal motility
disorders in patients with postbariatric dysphagia and supports
the role of multidisciplinary management and functional testing
for accurate diagnosis and timely treatment.
REFERENCES
Boules M, Corcelles R, Zelisko A, Batayyah E, Froylich D, RodriguezJ et al. Achalasia after bariatric surgery: A case report and review ofthe literature. J Laparoendosc Adv Surg Tech A. 2016; 26: 480-484.
Maselli R, Fiacca M, Pellegatta G, De Sire R, De Blasio F, Capogreco A etal. Peroral endoscopic myotomy for achalasia after bariatric surgery: A casereport and review of the literature. Diagnostics (Basel). 2023; 13: 3311.
Miller AT, Matar R, Abu Dayyeh BK, Beran A, Vela MF, Lacy BEet al. Postobesity surgery esophageal dysfunction: a combinedcross-sectional prevalence study and retrospective analysis. Am JGastroenterol. 2020; 115: 1669-1680.
Abu Ghanimeh M, Qasrawi A, Abughanimeh O, Albadarin S,Clarkston W. Achalasia after bariatric Roux-en-Y gastric bypass surgeryreversal. World J Gastroenterol. 2017; 23: 6902-6906.
Shah A, Smolkin M, Nayar R, Richter J. Association between priorsurgical or traumatic insult and esophageal achalasia: A case-controlstudy. Am J Gastroenterol. 2020; 115: 1681-1687.