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2026, Number 4

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Acta Med 2026; 24 (4)

Achalasia after gastric bypass

Hernández LCJ
Full text How to cite this article 10.35366/123518

DOI

DOI: 10.35366/123518
URL: https://dx.doi.org/10.35366/123518

Language: Spanish
References: 5
Page: 467-468
PDF size: 604.50 Kb.


Key words:

achalasia, bariatric surgery, gastric bypass, dysphagia, esophageal manometry.

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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.




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C?MO CITAR (Vancouver)

Acta Med. 2026;24