LAPAROSCOPIC ESOPHAGOGASTROSTOMY AS A SALVAGE OPERATION AFTER FAILED MYOTOMY IN END-STAGE ACHALASIA

End-stage achalasia is characterized by massive and tortuous esophagus with malnutrition, progressive dysphagia, and vomiting. Esophagectomy is indicated in those with a tortuous esophagus with axis deviation, failed myotomy, and deteriorating quality of life. In these patients, esophagectomy may be the last resort. However, morbidity of esophagectomy is the major limiting factor. Laparoscopic esophagogastrostomy has been described as a less invasive step before esophagectomy due to wide anastomoses, decreased risk of stenosis and invasiveness, and no change in anatomy to prevent future esophagectomy. This video presents the technical aspects of the procedure and outcomes of the patients.