SSAT - LAPAROSCOPIC HELLER MYOTOMY WITH PULL-DOWN TECHNIQUE AND ROUX-EN-Y GASTRIC BYPASS IN A PATIENT WITH OBESITY AND SIGMOID SHAPE ESOPHAGUS (END-STAGE ACHALASIA)

Back to 2025 Abstracts

LAPAROSCOPIC HELLER MYOTOMY WITH PULL-DOWN TECHNIQUE AND ROUX-EN-Y GASTRIC BYPASS IN A PATIENT WITH OBESITY AND SIGMOID SHAPE ESOPHAGUS (END-STAGE ACHALASIA)
Luca Provenzano^*^1,2, Francesca Forattini^1,2, Giovanni Capovilla^1,2, Andrea Costantini^1,2, Giulia Pozza^1,3, Alice Albanese^1,3, Michele Valmasoni^1,2, Mirto Foletto^1,3, Renato Salvador^1,2
¹Universita degli Studi di Padova Dipartimento di Scienze Chirurgiche Oncologiche e Gastroenterologiche, Padova, Veneto, Italy; ²UOC Chirurgia Generale 1, Azienda Ospedale - Universit� Padova, Padova, Italy; ³UOSD Week Surgery, Azienda Ospedale - Universit� Padova, Padova, Italy

We report on a 42-y patient with end-stage achalasia and severe obesity (BMI 42.3 kg/m²) treated with laparoscopic myotomy in combination with RYGB.
After multidisciplinary and pre-operative assessement, 2 surgical teams with extensive experience in upper-GI and bariatric surgery were involved.
Firstly, dissection and pull-down of the distal esophagus followed by an Heller-myotomy were achieved. A standard RYGB was then carried out. The patient was safely discharged on soft diet at POD 3. At 6-month follow-up, HRM and 24h-pH monitoring showed normal results. BMI was 31.5 kg/m².
This is the the first reported approach proved to be feasible safe and effective to treat both clinical conditions.

Back to 2025 Abstracts