Pseudoachalasia as a late complication of gastric wrap performed for morbid obesity: report of a case

Abstract

A 66-year-old woman presented with progressive dysphagia of 10 years' duration. She had undergone a Teflon gastric wrap operation for obesity 20 years earlier. Endoscopic and radiological examinations showed a dilated tortuous esophagus and a contracted stomach. The esophageal manometry findings were consistent with achalasia. She underwent an uneventful total gastrectomy, partial distal esophagectomy, and Roux-en-Y esophagojejunal anastomosis. When last seen, 2 months after her operation, she was not suffering from dysphagia. This case report serves to demonstrate that gastric reservoir wrapping is associated with significant morbidity.