Display options
Cite
Sheppard CE, Sadowski DC, Gill R, et al. A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy. Case Rep Surg. 2016;2016:9363545doi: 10.1155/2016/9363545.
Sheppard, C. E., Sadowski, D. C., Gill, R., & Birch, D. W. (2016). A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy. Case reports in surgery, 20169363545. https://doi.org/10.1155/2016/9363545
Sheppard, Caroline E, et al. "A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy." Case reports in surgery vol. 2016 (2016): 9363545. doi: https://doi.org/10.1155/2016/9363545
Sheppard CE, Sadowski DC, Gill R, Birch DW. A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy. Case Rep Surg. 2016;2016:9363545. doi: 10.1155/2016/9363545. Epub 2016 Jun 19. PMID: 27413570; PMCID: PMC4930820.
Copy Download .nbib Format: NLM
Share it on

Case Rep Surg. 2016;2016:9363545. doi: 10.1155/2016/9363545. Epub 2016 Jun 19.

A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy.

Case reports in surgery

Caroline E Sheppard, Daniel C Sadowski, Richdeep Gill, Daniel W Birch

Affiliations

  1. Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Rm 511 CSC, 10240 Kingsway Avenue, Edmonton, AB, Canada T6X 1R8.
  2. Department of Medicine, Division of Gastroenterology, Zeidler Ledcor Centre, University of Alberta, Edmonton, AB, Canada T6G 2X8.
  3. Rm 3656 West Wing, Peter Lougheed Hospital, 3500 26th Avenue NE, Calgary, AB, Canada T1Y 6J4.

PMID: 27413570 PMCID: PMC4930820 DOI: 10.1155/2016/9363545

Abstract

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.

References

  1. Surg Endosc. 2011 Sep;25(9):2943-9 - PubMed
  2. Obes Surg. 2010 Feb;20(2):140-7 - PubMed
  3. Ann Surg. 2013 Feb;257(2):231-7 - PubMed
  4. Surg Endosc. 2013 Dec;27(12):4625-30 - PubMed
  5. Obes Surg. 2013 Oct;23(10):1551-7 - PubMed
  6. Ann Surg. 2011 Feb;253(2):285-90 - PubMed
  7. Obes Surg. 2008 Sep;18(9):1083-8 - PubMed
  8. Obes Surg. 2010 Jul;20(7):835-40 - PubMed

Publication Types