Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, David Romero Funes, MD, Armando Rosales, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MDPhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Clevelan Clinic Florida
Recurrent achalasia occurs in 10-20 % of the cases after surgical myotomy. Therapeutic options entail endoscopic dilatation, Per-oral esophagomyotomy or redo surgical myotomy. We present a case of a 65-year-old male with history of laparoscopic Heller Myotomy and Dor Fundoplication, he is admitted with severe dysphagia and diagnosis of recurrent achalasia is made. Following assessment, he undergoes takedown of fundoplication in addition to a redo of the Heller myotomy. He had an upper GI that showed no leak, however on Post-operative day 7 he had signs of a leak, which was managed non-operatively with full resolution.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95247
Program Number: V217
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop