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Pseudo-achalasia: a complication of laparoscopic adjustable gastric banding

Authors:

P Terryn ,

Department of Radiology, Clinique Ste-Elisabeth Ziekenhuis, Brussels, Belgium, BE
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J Pringot,

Department of Radiology, Clinique Ste-Elisabeth Ziekenhuis, Brussels, Belgium, BE
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L Ghijselings,

Department of Radiology, Clinique Ste-Elisabeth Ziekenhuis, Brussels, Belgium, BE
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B Bomans,

Department of Department of Surgery, Clinique Ste-Elisabeth Ziekenhuis, Brussels, Belgium, BE
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P Matthys

Department of Radiology, Clinique Ste-Elisabeth Ziekenhuis, Brussels, Belgium, BE
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Abstract

A 49-year-old woman presented with dyspepsia and nocturnal regurgitation. A laparoscopic adjustable gastric binding (LAGB) had been performed 6 years before presentation. An upper gastrointestinal barium contrast study was performed and revealed a marked dilatation and tortuous course of the esophagus as well as absence of peristalsis and delayed evacuation of the esophagus (Fig. A, B). The findings were compatible with an achalasia-like disorder. An esophageal manometry revealed a constant high LES pressure with aperistalsis, thus confirming the diagnosis of (pseudo-)achalasia. Consequently a complete band deflation was conducted and resulted in a complete resolution of the patient’s symptoms. Two weeks later the control contrast study showed a marked improvement of the delayed evacuation and a small regain of peristaltic function. The dilatation and “sigmoidlike” image of the esophagus remained unchanged (Fig. C).

How to Cite: Terryn P, Pringot J, Ghijselings L, Bomans B, Matthys P. Pseudo-achalasia: a complication of laparoscopic adjustable gastric banding. Journal of the Belgian Society of Radiology. 2014;97(4):266. DOI: http://doi.org/10.5334/jbr-btr.111
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Published on 01 Jul 2014.
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