scholarly journals Unusual complication after laparoscopic Nissen fundoplication

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Wendy Pamart ◽  
Bernard Majerus
Keyword(s):  
Nissen Fundoplication ◽  
Rare Complication ◽  
Laparoscopic Nissen Fundoplication ◽  
Unusual Complication ◽  
Obese Patients ◽  
Generalized Peritonitis ◽  
Severely Obese ◽  
Laparoscopic Nissen ◽  
Greater Curvature ◽  
Greater Curvature Plication

Abstract We describe a rare complication of Laparoscopic Nissen Fundoplication in the presence of a Gastric greater curvature Plication (LNFGP). An overweight 64-year-old woman was admitted for severe abdominal pain, dysphagia and fever 2 weeks after a Nissen fundoplication. She had pneumoperitoneum on scanner. At laparoscopy, we found a generalized peritonitis secondary to a perforated Nissen wrap in the presence of a gastric greater curvature plication. Gastric bypass and sleeve gastrectomy can be irrelevant in case of moderately and severely obese patients with gastroesophageal reflux disease. Four studies have investigated the risks and rewards of the LNFGP as an alternative. Only one case of leakage has been reported. We present another severe complication: the pylorus stenosis caused by a plication performed too close to the pylorus, causing gastric dilatation in the presence of the wrap, leading to wrap perforation.

scholarly journals Herniation of the Anterior Wall of the Stomach into a Congenital Postdiaphragmatic Space: An Unusual Complication following Laparoscopic Nissen Fundoplication

2010 ◽  
Vol 2010 ◽  
pp. 1-3
Author(s):  
A. Eisawi ◽  
A. Al-Temimi ◽  
Mohamed Dirie ◽  
S. Bukhari ◽  
M. Siddiqui
Keyword(s):  
Nissen Fundoplication ◽  
Anterior Wall ◽  
High Index ◽  
Laparoscopic Nissen Fundoplication ◽  
Morbidity And Mortality ◽  
Unusual Complication ◽  
Persistent Vomiting ◽  
Laparoscopic Nissen ◽  
High Index Of Suspicion ◽  
Anterior Gastropexy

Postoperative herniation of the stomach into potential spaces is a rare but serious complication of Nissen fundoplication. We report a 55-year-old female who presented with persistent vomiting shortly following laparoscopic Nissen fundoplication. At laparotomy, the anterior wall of the stomach was noted to be herniating into a congenital space behind the diaphragm. Anterior gastropexy was performed following the reduction of the herniating gastric segment. A high index of suspicion followed by aggressive and timely intervention is necessary to diagnose and manage postoperative gastric herniation and reduce the subsequent morbidity and mortality.

scholarly journals Short- and Long-Term, 11–22 Years, Results after Laparoscopic Nissen Fundoplication in Obese versus Nonobese Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Mario Schietroma ◽  
Federica Piccione ◽  
Marco Clementi ◽  
Emanuela Marina Cecilia ◽  
Federico Sista ◽  
...  
Keyword(s):  
Nissen Fundoplication ◽  
Normal Weight ◽  
Laparoscopic Nissen Fundoplication ◽  
Long Term Results ◽  
Obese Patients ◽  
Inclusion Criteria ◽  
Short And Long Term ◽  
Laparoscopic Nissen ◽  
Nonobese Patients

Background. Some studies suggest that obesity is associated with a poor outcome after Laparoscopic Nissen Fundoplication (LNF), whereas others have not replicated these findings. The effect of body mass index (BMI) on the short- and long-term results of LNF is investigated.Methods. Inclusion criteria were only patients who undergone a LNF with at least 11-year follow-up data available, patients with preoperative weight and height data available for calculation of BMI (Kg/m2), and patients with a BMI up to a maximum of 34.9.Results. 201 patients met the inclusion criteria: 43 (21.4%) had a normal BMI, 89 (44.2%) were overweight, and 69 (34.4%) were obese. The operation was significantly longer in obese patients; the use of drains and graft was less in the normal BMI group (p<0.0001). The hospital stay, conversion (6,4%), and intraoperative and early postoperative complications were not influenced by BMI.Conclusions. BMI does not influence short-term outcomes following LNF, but long-term control of reflux in obese patients is worse than in normal weight subjects.

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