Esophagogastro-roux-en-y jejunostomy : A surgical option in recurrent achalasia? Case report and review of the literature

Recurrent obstructive symptoms after cardiomyotomy for achalasia occur in approximately 10 per cent to 15 per cent of patients, but only some require reoperation. Reoperative procedures for achalasia vary, and in general, have less success in relieving symptoms than the initial procedure. We present...

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Bibliographic Details
Published in:The American surgeon 2007-09, Vol.73 (9), p.930-933
Main Authors: ROA, Paul E, SESTO, Mark E
Format: Article
Language:English
Subjects:
Adult
Anastomosis, Roux-en-Y
Biological and medical sciences
Esophageal Achalasia - surgery
Esophagostomy
Esophagus
Gastroesophageal reflux
General aspects
Humans
Jejunostomy - methods
Literature reviews
Male
Medical sciences
Mortality
Patients
Recurrence
Reoperation
Stomach
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Throat
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Summary:Recurrent obstructive symptoms after cardiomyotomy for achalasia occur in approximately 10 per cent to 15 per cent of patients, but only some require reoperation. Reoperative procedures for achalasia vary, and in general, have less success in relieving symptoms than the initial procedure. We present the case of a 37-year-old male with a 15-year history of recurrent achalasia, with symptoms of heartburn and progressive dysphagia after meals. He underwent several esophageal dilatations, botox injections, and two transthoracic Heller myotomies before the transabdominal esophagogastro-Roux-en-Y jejunostomy was performed. This case represents another surgical option for management of the challenging problem of recurrent achalasia.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480707300923