Achalasia after bariatric Roux-en-Y gastric bypass surgery reversal

Figure 1 Computed tomography scan of the abdomen and pelvis with contrast showing enteric contrast within the dilated distal esophagus, and was suspicious for mild stricture at the gastroesophageal junction.

Figure 2 Barium study showing persistent narrowing of the gastroesophageal junction with a moderately dilated, debris filled esophagus proximally and some tertiary esophageal contractions.

Figure 3 Esophageal manometry showing high lower esophageal sphincter pressure with abnormal relaxation and high resting pressure in addition to aperistalsis. These findings were consistent with type II achalasia.