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Endoscopy
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}insel.ch

https://doi.org/10.1136/flgastro-2020-101631

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    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 …

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    Footnotes

    • 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.