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Editorial
. 2011 Oct;45(9):745-7.
doi: 10.1097/MCG.0b013e318228c802.

Pseudoachalasia and laparoscopic gastric banding

Sabine Roman, Peter J Kahrilas
Editorial

Pseudoachalasia and laparoscopic gastric banding

Sabine Roman et al. J Clin Gastroenterol. 2011 Oct.
No abstract available

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Figures

Figure 1
Figure 1
EPT of a dysphagic patient with after LAGB exhibiting a pseudo-achalasia pattern. Although the patient exhibits EJG outflow obstruction with bolus pressurization well above 30 mmHg, the site of the outflow obstruction is distal to the LES, instead localized to the site of the LAGB/crural diaphragm (CD) combination. Some peristalsis appears preserved, but this pattern of bolus pressurization is easily misinterpreted as a simultaneous contraction using conventional manometry techniques. Note also the occurrence of a transient LES relaxation with reflux followed by secondary peristalsis.
Figure 2
Figure 2
Patient with pseudoachalasia after LABG placement. Dysphagia and obstructive pattern persisted after deflation of the implant (left) and removal of the implant (center). Only after surgical dissection to remove the encapsulating fibrosis was the obstruction relieved and peristalsis restored (right).
See this image and copyright information in PMC

Comment on

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