Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC Keck
We Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia with CT showing the very dilated network of varices overlying the stomach and esophagus. Consultation with his hepatologist did not feel he would be a candidate for TIPS as it would not decompress the varices much and were worried about hepatic decompensation. He was scheduled for laparoscopic Heller myotomy and Dor fundoplication. The video shows the complexity of the case with an intraoperative change in surgical plan given the extent of his portal hypertension.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86869
Program Number: V087
Presentation Session: Thursday Exhibit Hall Theater (Non CME)
Presentation Type: EHVideo