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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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  • Benavente-Chenhalls, Luis A1
  • Birriel, T Javier1
  • Chaar, Maher el1
  • Claros, Leonardo1
  • Reardon, Patrick R1
  • Sherman, Vadim1

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  • Surgery for Obesity and Related Diseases2

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  • Dysphagia2
  • Esophageal dysmotility1
  • Esophageal Motility Disorders1
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  • Heller Myotomy1
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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.
  • Video case report

    Laparoscopic Heller myotomy and gastric bypass for achalasia after vertical banded gastroplasty

    Surgery for Obesity and Related Diseases
    Vol. 7Issue 5p664–665Published online: June 13, 2011
    • Luis A. Benavente-Chenhalls
    • Vadim Sherman
    • Patrick R. Reardon
    Cited in Scopus: 2
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    The incidence of esophageal motility disorders in morbidly obese patients has not been well established. Some studies have suggested that although the prevalence of these disorders might be greater than in the normal population, obese patients might not necessarily develop symptoms [1]. Therefore, esophageal motility disorders can be overlooked during preoperative testing and the evaluation for bariatric surgery and only become apparent after surgery. In other patients, esophageal motility disorders might arise de novo after the procedure or arise as a complication of the procedure.
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