Obesity and symptomatic achalasia

Weight loss is a frequent finding in achalasia because of the difficulty in swallowing. Although manometric findings compatible with achalasia have been found in morbidly obese patients, all of them were asymptomatic. The authors report a case of symptomatic achalasia and morbid obesity in a 38-year...

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Bibliographic Details
Published in:Obesity surgery 2005-05, Vol.15 (5), p.713-715
Main Authors: Herbella, Fernando Augusto Mardiros, Matone, Jacques, Lourenço, Laércio Gomes, Del Grande, Jose Carlos
Format: Article
Language:English
Subjects:
Adult
Chagas Disease - complications
Esophageal Achalasia - etiology
Esophageal Achalasia - psychology
Esophageal Achalasia - surgery
Feeding and Eating Disorders - etiology
Feeding and Eating Disorders - psychology
Female
Humans
Obesity
Obesity, Morbid - etiology
Obesity, Morbid - psychology
Obesity, Morbid - surgery
Weight control
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Summary:Weight loss is a frequent finding in achalasia because of the difficulty in swallowing. Although manometric findings compatible with achalasia have been found in morbidly obese patients, all of them were asymptomatic. The authors report a case of symptomatic achalasia and morbid obesity in a 38-year-old woman. A mental disorder become manifested after the patient was submitted to an esophageal myotomy and fundoplication. With weight gain, postoperative gastroesophageal reflux developed. Drawbacks of further operative procedures in such a patient are discussed.
ISSN:0960-8923
1708-0428
DOI:10.1381/0960892053923905