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Extreme Achalasia Presenting as Anorexia Nervosa
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-04
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Background.
Achalasia may lead to cachexia if not diagnosed in an early stage.
Surgery in cachectic patients is hazardous and complications may result in a protracted recovery or even death.
Different treatment options have been described.
In this paper, we report a stepwise surgical laparoscopic approach which appears to be safe and effective.
Methods.
Over a one-year period, a patient with a body mass index (BMI) below 17 being treated for anorexia nervosa was referred with dysphagia.
Because of the extreme cachexia, a laparoscopic feeding jejunostomy (LFJ) was fashioned to enable long-term home enteral feeding.
The patient underwent a laparoscopic Heller myotomy (LHM) when the BMI was normal.
Results.
The patient recovered well following this stepwise approach.
Conclusion.
Patients with advanced achalasia usually present with extreme weight loss.
In this small group of patients, a period of home enteral nutrition (HEN) via a laparoscopically placed feeding jejunostomy allows weight gain prior to safe definitive surgery.
American Psychological Association (APA)
Goldsmith, P. J.& Decadt, B.. 2012. Extreme Achalasia Presenting as Anorexia Nervosa. Case Reports in Surgery،Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-513709
Modern Language Association (MLA)
Goldsmith, P. J.& Decadt, B.. Extreme Achalasia Presenting as Anorexia Nervosa. Case Reports in Surgery No. 2012 (2012), pp.1-2.
https://search.emarefa.net/detail/BIM-513709
American Medical Association (AMA)
Goldsmith, P. J.& Decadt, B.. Extreme Achalasia Presenting as Anorexia Nervosa. Case Reports in Surgery. 2012. Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-513709
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513709