Córdoba Guzmán Andrea Carolina, Fuentes Carlos Fernando, Sabbagh Luis Carlos
Departamento de Gastroenterología, Clínica Universitaria Colombia, Grupo Keralty, Bogotá, Colombia.
Departamento de Gastroenterología, Clínica Reina Sofía, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia.
ACG Case Rep J. 2025 Jan 4;12(1):e01584. doi: 10.14309/crj.0000000000001584. eCollection 2025 Jan.
Achalasia is a rare esophageal motor disorder characterized by incomplete relaxation of the lower esophageal sphincter and ineffective contraction of the esophageal body. This condition is not often associated with obesity; however, in recent years, cases of achalasia after bariatric surgery have been described. We describe the case of a 30-year-old female patient with a history of gastric sleeve surgery in 2018, which, 4 years after the intervention, presented with dysphagia, regurgitation, and weight loss. A diagnosis of achalasia was made, and peroral endoscopic myotomy was performed.
贲门失弛缓症是一种罕见的食管运动障碍性疾病，其特征为食管下括约肌不完全松弛以及食管体部无效收缩。这种疾病通常与肥胖无关；然而，近年来，已有减肥手术后发生贲门失弛缓症的病例报道。我们报告一例30岁女性患者，她在2018年接受了胃袖状切除术，术后4年出现吞咽困难、反流和体重减轻。诊断为贲门失弛缓症，并进行了经口内镜下肌切开术。
