Treatment of morbid obesity with laparoscopic adjustable gastric banding affects esophageal motility

Weiß, Helmut; Nehoda, Hermann; Labeck, B; Peer-Kühberger, M.D.Regina; Klingler, Paul J.; Gadenstätter, Michael; Aigner, Franz; Wetscher, Gerold J.

doi:10.1016/s0002-9610(00)00511-0

Cited by 111 publications

(104 citation statements)

References 20 publications

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“…Indeed, functional impairments of the oesophagogastric junction following AGB placement and all other types of restrictive procedure are of growing concern 10,27 -32 . In contrast to other centres, patients with hiatal hernia were found to be eligible for gastric banding in the authors' department and even developed functional improvement in the short term 33 .…”

Section: Discussionmentioning

confidence: 57%

Surgical revision after failure of laparoscopic adjustable gastric banding

Weiß

Kirchmayr

Alexander

et al. 2003

British Journal of Surgery

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Section: Discussionmentioning

confidence: 57%

Surgical revision after failure of laparoscopic adjustable gastric banding

Weiß

Kirchmayr

Alexander

et al. 2003

British Journal of Surgery

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“…Por otro lado, dentro de las opciones terapéuticas para la acalasia está demostrado que la miotomía esofágica es la que presenta mejores resultados, comparado principalmente con la dilatación neumá-tica, ya que presenta más tiempo asintomático 8 . En el primer caso presentado, el paciente fue sometido a 2 dilataciones sin resultados satisfactorios por lo que se planteó la resolución quirúrgica en su caso.…”

Section: Discussionunclassified

Acalasia en obesos mórbidos: Reporte de casos

et al. 2010

Rev Chil Cir

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Achalasia in morbidly obese patients. Report of two casesAchalasia is uncommon in morbidly obese patients. We report two patients with both conditions. A 71 years old diabetic male with a body mass index (BMI) of 36 kg/m 2 . He consulted for dysphagia and a manometry showed a lack of relaxation of the lower esophageal sphincter. He was subjected to unsuccessful pneumatic dilatations in two occasions. Finally the patient was subjected to a total gastrectomy and Roux en Y esophago-jejunal anastomosis. Eight months after surgery the patient reports slight dysphagia and lost 24 kg. A 66 years old male with a BMI of 44 kg/m 2 consulting for regurgitation. Manometry confirmed the diagnosis of achalasia. The patient was subjected to a esophagomyotomy, subtotal gastrectomy and Roux en Y gastro jejunal and jejuno-jejunal anastomosis. Two years after surgery the patient had a slight dysphagia and lost 20 kg.Key words: Achalasia, morbid obesity, gastrectomy. ResumenLa acalasia es un trastorno de la motilidad esofágica que tiende a producir baja de peso, siendo rara su presentación en obesos mórbidos. Existen pocos reportes de casos en la literatura. Se presentan 2 casos de pacientes con el diagnóstico de acalasia y obesidad mórbida, uno de ellos tratado con Gastrectomía total y el otro con Esofagomiotomía asociada a Bypass gástrico. Ambos pacientes evolucionaron en buenas condiciones. Finalmente se realiza un análisis de la literatura.Palabras clave: Obesidad mórbida, acalasia, cirugía. CASOS CLÍNICOS IntroducciónActualmente la obesidad es una epidemia a nivel mundial siendo la cirugía una de las mejores alternativas terapéuticas. Los trastornos motores esofágicos producen dificultad en la alimentación por lo que es rara su presentación en obesos mórbidos 1 . Sin ser la obesidad un factor de riesgo para su presentación, se ha descrito una incidencia mayor a 50% de estos trastornos en manometrías de obesos mórbidos, en los que la acalasia corresponde sólo a un 0,5-1% de los casos [1][2][3] . Se debe considerar que estos trastornos tienden a producir baja de peso en poblaciones no obesas, por lo tanto, es rara la presentación simul-

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“…That may be related to the complex physiological modifications induced by bariatric surgery. Several studies have suggested that esophageal-gastric peristalsis is altered after gastric banding [5][6][7]. Moreover, lower esophageal sphincter relaxation impairment is also reported [6,8].…”

Section: Middle Paragraphsmentioning

confidence: 99%

“…Several studies have suggested that esophageal-gastric peristalsis is altered after gastric banding [5][6][7]. Moreover, lower esophageal sphincter relaxation impairment is also reported [6,8]. Furthermore, following vertical banded gastroplasty, a decrease in basal lower esophageal sphincter pressure and an increase in acid reflux are also observed [9].…”

Section: Middle Paragraphsmentioning

confidence: 99%