What question did this study set out to answer?

To report a case of type I achalasia occurring after laparoscopic sleeve gastrectomy and its treatment outcomes.

Achalasia after laparoscopic sleeve gastrectomy treated with peroral endoscopic myotomy

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Case report reveals successful treatment of achalasia in a woman post-bariatric surgery, highlighting important clinical considerations.

To report a case of type I achalasia occurring after laparoscopic sleeve gastrectomy and its treatment outcomes.
Case report of a 34-year-old woman diagnosed with type I achalasia 5 years after laparoscopic sleeve gastrectomy.
Clinical evaluation including Eckardt score assessment, timed barium esophagram, and high-resolution impedance manometry.
Endoscopic intervention performed: peroral endoscopic myotomy (POEM) with muscle biopsies taken during the procedure.
Eckardt score improved from 7 to 2 three months post-POEM, indicating decreased dysphagia and regurgitation.
High-resolution impedance manometry showed decreased LES resting pressure and IRP to 0 mmHg post-procedure.
Timed barium esophagram indicated no barium stasis, signifying improved esophageal emptying.

Tsai et al. (2026) studied this question.

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