Journal article
Peroral Endoscopic Myotomy Is Feasible and Safe in a Gastric Bypass Population
Obesity surgery, Vol.29(11), pp.3523-3526
11/2019
DOI: 10.1007/s11695-019-04026-9
PMID: 31214967
Abstract
Obesity is public health problem of epidemic proportions. Esophageal dysmotility including achalasia is more commonly seen in an obese population. Standard therapy for achalasia can be complicated by hepatomegaly and a post-surgical anatomy in a pre- and post-bariatric population. Peroral endoscopic myotomy (POEM) has not been adequately studied in this population.A retrospective review of a prospectively collected database was completed. Patients who had undergone a Roux-en-y gastric bypass (RYGB) prior to or following a POEM were enrolled. Patient demographics, operative information and post-operative course data was collected.Six patients underwent POEM prior to or after RYGB. There were no peri-operative complications with an average length of stay of 1.2 days. Five patients experienced a clinical success with excellent symptom resolution. The one failure was in the setting of type III achalasia, but did have objective evidence of lower esophageal sphincter (LES) relaxation post-operatively.POEM in the setting of bariatric surgery is safe and feasible. The potential increase in GERD following POEM is obviated by RYGB anatomy. In an obese individual, a staged POEM prior to or following a RYGB is an appropriate treatment algorithm for obese and achalasia.
Details
- Title: Subtitle
- Peroral Endoscopic Myotomy Is Feasible and Safe in a Gastric Bypass Population
- Creators
- Umair Bashir - Iowa City USARami El Abiad - Iowa City USAHenning Gerke - Iowa City USAJohn Keech - Iowa City USAKalpaj Parekh - Iowa City USAPeter Nau - Iowa City USA
- Resource Type
- Journal article
- Publication Details
- Obesity surgery, Vol.29(11), pp.3523-3526
- Publisher
- Springer US; New York
- DOI
- 10.1007/s11695-019-04026-9
- PMID
- 31214967
- ISSN
- 0960-8923
- eISSN
- 1708-0428
- Language
- English
- Date published
- 11/2019
- Academic Unit
- Anatomy and Cell Biology; Gastroenterology and Hepatology; Surgery; Cardiothoracic Surgery; Internal Medicine
- Record Identifier
- 9984051732902771
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