A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy
Following bariatric surgery, a proportion of patients have been observed to experience reflux, dysphagia, and/or odynophagia. The etiology of this constellation of symptoms has not been systematically studied to date. This case describes a 36-year-old female with severe esophageal dysmotility follow...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/9363545 |
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| author | Caroline E. Sheppard Daniel C. Sadowski Richdeep Gill Daniel W. Birch |
| author_facet | Caroline E. Sheppard Daniel C. Sadowski Richdeep Gill Daniel W. Birch |
| author_sort | Caroline E. Sheppard |
| collection | DOAJ |
| description | Following bariatric surgery, a proportion of patients have been observed to experience reflux, dysphagia, and/or odynophagia. The etiology of this constellation of symptoms has not been systematically studied to date. This case describes a 36-year-old female with severe esophageal dysmotility following LSG. Many treatments had been used over a course of 3 years, and while calcium channel blockers reversed the esophageal dysmotility seen on manometry, significant symptoms of dysphagia persisted. Subsequently, the patient underwent a gastric bypass, which seemed to partially relieve her symptoms. Her dysphagia was no longer considered to be associated with a structural cause but attributed to a “sleeve dysmotility syndrome.” Considering the difficulties with managing sleeve dysmotility syndrome, it is reasonable to consider the need for preoperative testing. The question is whether motility studies should be required for all patients planning to undergo a LSG to rule out preexisting esophageal dysmotility and whether conversion to gastric bypass is the preferred method for managing esophageal dysmotility after LSG. |
| format | Article |
| id | doaj-art-a65b9af3d3f24c40b5eb7c80c6803ac5 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-a65b9af3d3f24c40b5eb7c80c6803ac52025-08-20T03:38:48ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/93635459363545A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve GastrectomyCaroline E. Sheppard0Daniel C. Sadowski1Richdeep Gill2Daniel W. Birch3Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Rm 511 CSC, 10240 Kingsway Avenue, Edmonton, AB, T6X 1R8, CanadaDepartment of Medicine, Division of Gastroenterology, Zeidler Ledcor Centre, University of Alberta, Edmonton, AB, T6G 2X8, CanadaRm 3656 West Wing, Peter Lougheed Hospital, 3500 26th Avenue NE, Calgary, AB, T1Y 6J4, CanadaCentre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Rm 511 CSC, 10240 Kingsway Avenue, Edmonton, AB, T6X 1R8, CanadaFollowing bariatric surgery, a proportion of patients have been observed to experience reflux, dysphagia, and/or odynophagia. The etiology of this constellation of symptoms has not been systematically studied to date. This case describes a 36-year-old female with severe esophageal dysmotility following LSG. Many treatments had been used over a course of 3 years, and while calcium channel blockers reversed the esophageal dysmotility seen on manometry, significant symptoms of dysphagia persisted. Subsequently, the patient underwent a gastric bypass, which seemed to partially relieve her symptoms. Her dysphagia was no longer considered to be associated with a structural cause but attributed to a “sleeve dysmotility syndrome.” Considering the difficulties with managing sleeve dysmotility syndrome, it is reasonable to consider the need for preoperative testing. The question is whether motility studies should be required for all patients planning to undergo a LSG to rule out preexisting esophageal dysmotility and whether conversion to gastric bypass is the preferred method for managing esophageal dysmotility after LSG.http://dx.doi.org/10.1155/2016/9363545 |
| spellingShingle | Caroline E. Sheppard Daniel C. Sadowski Richdeep Gill Daniel W. Birch A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy Case Reports in Surgery |
| title | A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy |
| title_full | A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy |
| title_fullStr | A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy |
| title_full_unstemmed | A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy |
| title_short | A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy |
| title_sort | case study of severe esophageal dysmotility following laparoscopic sleeve gastrectomy |
| url | http://dx.doi.org/10.1155/2016/9363545 |
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