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Updated: Mar 16, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Surgical Management of Achalasia in a Patient With Previous Gastric Bypass
Whitney D Johnson1, M Blair Marshall
1From the *Georgetown University School of Medicine, Washington, DC USA; and †Division of Thoracic Surgery, Medstar Georgetown University Hospital, Washington, DC USA.
Abstract:
Patients with previous foregut surgery who develop additional foregut pathology can be a challenge. Those who have formerly undergone gastric bypass and later develop achalasia are at increased risk related to previous surgery. In this case report, we describe an alternative approach for the Dor fundoplication after laparoscopic Heller myotomy in the setting of the altered anatomy. The technique and advantages of this approach are detailed in the discussion of this patient.
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