ArticleFrontiers in surgery2026
Simultaneous surgical treatment of morbid obesity and end-stage achalasia: a case report and review of literature.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
Background: End-stage achalasia is a challenging condition to deal with, due to severely impaired esophageal function. Laparoscopic Heller-Dor with pull-down technique improves the outcomes of these patients. Some patients with end-stage achalasia also suffer from severe obesity, thus requiring surgical treatment for both conditions. We report on a patient with severe obesity and an end-stage achalasia treated with pull-down laparoscopic myotomy in combination with Roux-en-Y gastric bypass (RYGB). Case presentation: A 42-year-old male with end-stage achalasia and severe obesity (kg 148, BMI 42.3 kg/m Conclusion: To our knowledge, this is the first reported case of a combined approach to address end-stage achalasia and severe obesity with well-established and standardized operations. It proved to be feasible and effective to treat both clinical conditions. Further and formally designed studies are needed to confirm these results.
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