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Surgery for Obesity and Related Diseases
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    • Cover Image - Surgery for Obesity and Related Diseases, Volume 19, Issue 6
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  • Case report

    Laparoscopic Heller myotomy after previous Roux-en-Y gastric bypass

    Surgery for Obesity and Related Diseases
    Vol. 13Issue 11p1927–1928Published online: August 25, 2017
    • T. Javier Birriel
    • Leonardo Claros
    • Maher El Chaar
    Cited in Scopus: 5
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    Obesity has been shown to be an independent risk factor for developing esophageal motility disorders, with a prevalence of 20% to 61% [1–4]. Achalasia is a rare primary esophageal motility disorder that is even more rare among the obese population. It is characterized by aperistalsis of the esophagus and lack of relaxation of the lower esophageal sphincter. Associated symptoms in the nonobese patient include dysphagia, regurgitation, reflux, and weight loss. On the contrary, among the obese population regurgitation, cough and aspiration are the presenting symptoms.
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