Achalasia and obesity: patient outcomes and impressions following laparoscopic Heller myotomy and Dor fundoplication.
Publication/Presentation Date
9-1-2020
Abstract
PURPOSE: The optimal management of achalasia in obese patients is unclear. For those who have undergone Heller myotomy and fundoplication, the long-term outcomes and their impressions following surgery are largely unknown.
METHODS: A retrospective review of patients who underwent laparoscopic Heller myotomy and Dor fundoplication (LHMDF) for achalasia was performed. From this cohort, Class 2 and 3 obese (BMI > 35 kg/m
RESULTS: Between 2003 and 2015, 252 patients underwent LHMDF for achalasia, and 17 (7%) patients had BMI > 35 kg/m
CONCLUSION: LHMDF for achalasia in obese patients is safe and effective in the short term. At long-term follow-up, many patients had symptom recurrence and experienced minimal weight loss. Discussing weight-loss surgery at the time LHMDF may be appropriate to ensure long-term achalasia symptom relief.
Volume
405
Issue
6
First Page
809
Last Page
816
ISSN
1435-2451
Published In/Presented At
Harrison, J. M., Rakestraw, S. L., Doane, S. M., Pucci, M. J., Palazzo, F., & Chojnacki, K. A. (2020). Achalasia and obesity: patient outcomes and impressions following laparoscopic Heller myotomy and Dor fundoplication. Langenbeck's archives of surgery, 405(6), 809–816. https://doi.org/10.1007/s00423-020-01912-0
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32583213
Department(s)
Administration and Leadership
Document Type
Article