SSAT - REOPERATIVE LAPAROSCOPIC HELLER MYOTOMY AND DOR FUNDOPLICATION IN A PATIENT WITH ADVANCED ACHALASIA, FULMINANT ESOPHAGEAL CANDIDIASIS, AND UNUSUAL INTRAOPERATIVE LEAK

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REOPERATIVE LAPAROSCOPIC HELLER MYOTOMY AND DOR FUNDOPLICATION IN A PATIENT WITH ADVANCED ACHALASIA, FULMINANT ESOPHAGEAL CANDIDIASIS, AND UNUSUAL INTRAOPERATIVE LEAK
Sylvestre Pineau^*^², Farzaneh Banki^{^1,3}
^¹The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, TX; ^²The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, TX; ^³Memorial Hermann Southeast Hospital, Houston, TX

Introduction: Patients with end-stage achalasia are poor surgical candidates. Method: The patient underwent reoperative laparoscopic Heller myotomy and Dor fundoplication, and a flash of esophageal fluid was suspicious for mucosal entrance. Upper endoscopy showed no leak. Results: The esophagram on POD #1 showed no evidence of a leak. She was discharged on POD #2 on a full liquid diet. At 3 months follow-up, she has gained 11 lbs. Conclusion: Reoperative laparoscopic Heller myotomy and Dor fundoplication can result in good outcomes in patients with advanced achalasia, Candidiasis, and malnutrition. Possible micro-abscesses in the esophageal wall can mimic esophageal leak.

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