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Updated: May 15, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Gastroesophageal Intussusception Treated With Combined Transoral Incisionless Fundoplication in a Patient With
Areeka Memon1, Nicholas Dugan2, Thiruvengadam Muniraj3
1Section of Rheumatology, Allergy, & Immunology, Yale School of Medicine, New Haven, CT.
Abstract:
We present a case of a 49-year-old woman with diffuse cutaneous systemic sclerosis with refractory gastroesophageal reflux disease and dysphagia for pills and solid foods. Esophagogastroduodenoscopy revealed gastroesophageal intussusception. Despite several interventions including esophageal stent placement, dysphagia persisted. Owing to refractory severe symptoms, the patient underwent a laparoscopic hiatal hernia repair combined with endoscopic transoral incisionless fundoplication. The patient tolerated the intervention well and dysphagia resolved. Although an obscure persistent dysphagia in SSc patients, gastroesophageal intussusception should be considered. This case underscores the need for persistence in the diagnostic evaluation of gastrointestinal symptoms in patients with SSc and highlights the need for a multidisciplinary team care approach.
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