Jaclyn B Wierzbicki, MD, Henning Gerke, MD, Peter Nau, MD. University of Iowa Hospitals and Clinics
A patient who previously underwent Roux-en-Y Gastric Bypass developed Achalasia and was offered a Per Oral Endoscopic Myotomy. Her presenting complaints included dysphagia, regurgitation and chest pain. She underwent work-up including timed barium swallow, high-resolution esophageal manometry and upper endoscopy and was diagnosed with Type II Achalasia. She had undergone a gastric bypass previously, which was complicated by an intra-abdominal bleed. In light of possible adhesions resulting from this bleeding, which had been managed non-operatively, the patient was offered a POEM as opposed to Heller myotomy. She successfully underwent this procedure after appropriate work-up confirmed she was a good candidate. Her Eckhardt Score was 9 before and 0 following her POEM. Though she had some reflux post-procedure, her dysphagia resolved and she is now able to tolerate a general diet.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84799
Program Number: V201
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop