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Acalasia en obesos mórbidos. Reporte de casos

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2010-04
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León A., Paula
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Acalasia en obesos mórbidos. Reporte de casos
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  • León A., Paula;
  • Csendes Juhasz, Attila;
  • Braghetto Miranda, Italo;
  • Lasen de S., José;
  • Robles M., José;
Abstract
Achalasia is uncommon in morbidly obese patients. We report two patients with both conditions. A 71 years old diabetic male with a body mass index (BMI) of 36 kg/m2. He consulted for dysphagia and a manometry showed a lack of relaxation of the lower esophageal sphincter. He was subjected to unsuccessful pneumatic dilatations in two occasions. Finally the patient was subjected to a total gastrectomy and Roux en Y esophago-jejunal anastomosis. Eight months after surgery the patient reports slight dysphagia and lost 24 kg. A 66 years old male with a BMI of 44 kg/m2 consulting for regurgitation. Manometry confirmed the diagnosis of achalasia. The patient was subjected to a esophagomyotomy, subtotal gastrectomy and Roux en Y gastro jejunal and jejuno-jejunal anastomosis. Two years after surgery the patient had a slight dysphagia and lost 20 kg.
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URI: https://repositorio.uchile.cl/handle/2250/128622
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Rev. Chilena de Cirugía. Vol 62 - Nº 2, Abril 2010; pág. 172-174
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