Abstract
Background:
Secondary achalasia in the setting of an adjustable gastric band is a known, but rare complication. Most of the symptoms usually resolve after deflating or removing the gastric band, but dysphagia symptoms may persist. We present a case report of a patient with secondary achalasia in the setting of an adjustable gastric band, who required delayed resection of fibrous pseudocapsule to treat persistent dysphagia symptoms after removal of the gastric band.
Methods:
We performed a literature search using EMBASE and MEDLINE databases to review literature on persistent dysphagia symptoms after removal of adjustable gastric band in the setting of secondary achalasia.
Results:
We present the case of a patient who had secondary achalasia in the setting of an adjustable gastric band. Despite removal of the gastric band, dysphagia symptoms persisted, requiring delayed resection of fibrous pseudocapsule to relieve the obstructive symptoms. We review the literature from three case reports and two conference abstracts discussing persistent dysphagia symptoms after removal of adjustable gastric band in the setting of secondary achalasia.
Conclusion:
Our recommendation is to resect anterior portion of the fibrous pseudocapsule at the time of removal of an adjustable gastric band in patients with suspected secondary achalasia.
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