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Recurrent dysphagia after bariatric surgery
  1. Riad Sarraj1,
  2. Marion Bionda1,
  3. Heather Dawson2,
  4. Niklas Krupka1
  1. 1Department of Visceral Surgery and Medicine, Gastroenterology, Inselspital University Hospital, Bern, Switzerland
  2. 2Institute 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

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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 (figure …

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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.

  • Patient consent for publication Obtained.

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

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