Early and severe onset of esophageal dysfunction after laparoscopic sleeve gastrectomy: a case report and review of literature

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DOI:

https://doi.org/10.47892/rgp.2024.441.1604

Keywords:

Esophageal motility disorders, Bariatric surgery, Endoscopy, gastrointestinal

Abstract

After bariatric surgery one of the most common complications is dysphagia. The etiology of this disease has not been fully elucidated but it is known that it may be due to structural changes due to surgery. This case describes a 65-year-old female with early and severe onset of dysphagia following laparoscopic sleeve gastrectomy. The patient's final diagnosis was postobesity surgery esophageal dysfunction and laparoscopic proximal gastrectomy with esophagojejunal Roux-en-Y anastomosis was performed. Physicians should be aware of this condition in order to offer early diagnosis and treatment.

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References

Miller AT, Matar R, Abu Dayyeh BK, Beran A, Vela MF, Lacy BE, et al. Postobesity Surgery Esophageal Dysfunction: A Combined Cross-Sectional Prevalence Study and Retrospective Analysis. Am J Gastroenterol. 2020;115(10):1669-1680. doi: 10.14309/ajg.0000000000000733.

Silveira Rossi JL, Barbalho SM, Reverete De Araujo R, Bechara MD, Sloan KP, Sloan LA. Metabolic syndrome and cardiovascular diseases: Going beyond traditional risk factors. Diabetes Metab Res Rev. 2022;38(3):e3502. doi: 10.1002/dmrr.3502.

Nam SY. Obesity-Related Digestive Diseases and Their Pathophysiology. Gut Liver. 2017;11(3):323-334. doi: 10.5009/gnl15557.

Nguyen AD. Impact of bariatric surgery on gastroesophageal reflux disease and esophageal motility. Curr Opin Gastroenterol. 2021;37(4):364-371. doi: 10.1097/MOG.0000000000000745.

Montana L, Colas PA, Valverde A, Carandina S. Alterations of digestive motility after bariatric surgery. J Visc Surg. 2022;159(1):S28-S34. doi: 10.1016/j.jviscsurg.2022.01.006.

Kalarchian MA, King WC, Devlin MJ, White GE, Marcus MD, Garcia L, et al. Surgery-related gastrointestinal symptoms in a prospective study of bariatric surgery patients: 3-year followup. Surg Obes Relat Dis. 2017;13(9):1562-1571. doi: 10.1016/j.soard.2017.03.028.

Tolone S, Savarino E, de Bortoli N, Frazzoni M, Frazzoni L, Savarino V, Docimo L. Esophageal High-Resolution Manometry Can Unravel the Mechanisms by Which Different Bariatric Techniques Produce Different Reflux Exposures. J Gastrointest Surg. 2020;24(1):1-7. doi: 10.1007/s11605-019-04406-7.

Balla A, Meoli F, Palmieri L, Corallino D, Sacchi MC, Ribichini E, et al. Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review. Langenbecks Arch Surg. 2021;406(8):2591-2609. doi: 10.1007/s00423-021-02171-3.

Braghetto I, Korn O. Late esophagogastric anatomic and functional changes after sleeve gastrectomy and its clinical consequences with regards to gastroesophageal reflux disease. Dis Esophagus. 2019;32(6):doz020. doi: 10.1093/dote/doz020.

Jaruvongvanich V, Matar R, Ravi K, Murad MH, Vantanasiri K, Wongjarupong N, et al. Esophageal Pathophysiologic Changes and Adenocarcinoma After Bariatric Surgery: A Systematic Review and Meta-Analysis. Clin Transl Gastroenterol. 2020;11(8):e00225. doi: 10.14309/ctg.0000000000000225.

Mejía-Rivas MA, Herrera-López A, Hernández-Calleros J, Herrera MF, Valdovinos MA. Gastroesophageal Reflux Disease in Morbid Obesity: The Effect of Roux-en-Y Gastric Bypass. Obes Surg. 2008;18(10):1217-1224. doi: 10.1007/s11695-008-9474-2.

Merrouche M, Sabaté JM, Jouet P, Harnois F, Scaringi S, Coffin B, et al. Gastro-Esophageal Reflux and Esophageal Motility Disorders in Morbidly Obese Patients before and after Bariatric Surgery. Obes Surg. 2007;17(7):894-900. doi: 10.1007/s11695-007-9166-3.

Shah RN, Izanec JL, Friedel DM, Axelrod P, Parkman HP, Fisher RS. Achalasia Presenting After Operative and Nonoperative Trauma. Dig Dis Sci. 2004;49(11-12):1818-1821. doi: 10.1007/s10620-004-9577-0.

Ravi K, Sweetser S, Katzka DA. Pseudoachalasia secondary to bariatric surgery: Pseudoachalasia in bariatric surgery. Dis Esophagus. 2016;29(8):992-995. doi: 10.1111/dote.12422.

Aiolfi A, Tornese S, Bonitta G, Rausa E, Micheletto G, Bona D. Management of Esophageal Achalasia after Roux-en-Y Gastric Bypass: Narrative Review of the Literature. Obes Surg. 2019;29(5):1632-1637. doi: 10.1007/s11695-019-03774-y.

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Published

03/18/2024

How to Cite

1.
Benites-Goñi H, Orrego-Peche J, Zevallos-Bedregal O, Marin-Calderón L, Rosas-Marcos L, Palacios-Salas F. Early and severe onset of esophageal dysfunction after laparoscopic sleeve gastrectomy: a case report and review of literature. Rev Gastroenterol Peru [nternet]. 2024 Mar. 18 [cited 2024 Nov. 21];44(1):63-6. vailable from: https://revistagastroperu.com/index.php/rgp/article/view/1604

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Section

REPORTES DE CASOS

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