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Updated: Jun 14, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Morbid obesity with achalasia: a surgical challenge
Monika E Hagen1, Micheal Sedrak, Oliver J Wagner
1Center for the Future of Surgery, Division of Minimally Invasive Surgery, University of California San Diego, San Diego, CA, USA. monikahagen@aol.com
Abstract:
Achalasia is a relatively rare medical condition that is classically not associated with obesity. The surgical treatment of a simultaneous occurrence of these two diseases requires careful consideration, and only a few reports can be found in the literature combining a Heller myotomy with gastric bypass, duodenal switch, or gastric banding. We report the case of a 69-year-old female patient with early achalasia and obesity who underwent simultaneous laparoscopic gastric sleeve resection and robotic Heller myotomy. No intra- or postoperative complications occurred. A follow-up at 6 weeks showed a significant weight loss and resolved symptoms of achalasia. The case illustrates that a simultaneous gastric sleeve resection and robotic Heller myotomy might be an option for the treatment of concurrent obesity and achalasia.
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