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Patient was 53-years, male, and, undergone a gastric band placement to treat morbid obesity for 9 years. One year ago he started presenting dysphagia, reflux, choking, coughing and wheezing. Upper endoscopy was performed, showing erosive esophagitis, esophageal dilation and constriction in the gastric body with difficulty passage. Constriction was found at 3 cm from esophagogastric transition. Contrastive X-ray of esophagus, stomach and duodenum showed dilated esophagus (grade IV) and dilation of stomach to the proximal portion where is the already deflated gastric band, at 3 cm from the esophagogastric transition (Figs. 1 and 2).

Megaesôfago pós-colocação de banda gástrica para tratamento de obesidade mórbida