Article Text

Download PDFPDF
Inside view
Recurrent dysphagia after bariatric surgery
  1. Riad Sarraj1,
  2. Marion Bionda1,
  3. Heather Dawson2,
  4. Niklas Krupka1
  1. 1 Department of Visceral Surgery and Medicine, Gastroenterology, Inselspital University Hospital, Bern, Switzerland
  2. 2 Institute of Pathology, University of Bern, Bern, Switzerland
  1. Correspondence to Dr Niklas Krupka, Gastroenterology, Inselspital Universitatsspital Bern, Bern 3010, Switzerland; niklas.krupka{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Clinical presentation

A 62-year-old female patient with a history of gastric bypass surgery (Roux-en-Y) was seen in the surgical outpatient clinic complaining of epigastric pain, heartburn and mild dysphagia. The current symptoms had started 2 months before the presentation and were increased by hot food and beverages. The patient reported no weight loss or other B symptoms. The patient’s medication included trimipramine and several food supplements. Laboratory testing revealed no abnormal results. High-resolution manometry and 24 hours impedance pH measurement were normal. We performed an oesophagogastroduodenoscopy, which revealed shedding of the mucosa along the whole length of the oesophagus, consistent with desquamation …

View Full Text


  • Twitter @niklaskrupka

  • Contributors RS and NK wrote and designed the manuscript and figures; RS and MB performed the endoscopies; HD performed the histological studies; MB coordinated the diagnostic and therapeutic steps.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.