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 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 Dynamic MRI Evaluation of the Gastric Fundus and Splenic Circulation to Assess the Gastric Breves Dissection during Laparoscopic Nissen Fundoplication

2018 ◽  
Vol 6 (2) ◽  
pp. 320-325
Author(s):  
Gökhan Akkurt ◽  
Önder Sürgit ◽  
Hakan Ataş ◽  
Mustafa Alimoğullari
Keyword(s):  
Nissen Fundoplication ◽  
Gastric Wall ◽  
Dynamic Mri ◽  
Posterior Wall ◽  
Anterior Wall ◽  
Gastric Fundus ◽  
Laparoscopic Nissen Fundoplication ◽  
Demeester Score ◽  
Before And After ◽  
Laparoscopic Nissen

AIM: We aimed to evaluate the possible effects of dissecting gastric breves (GB) during the Laparoscopic Nissen Fundoplication (LNF) on the gastric fundus and splenic circulation using dynamic Magnetic Resonance Imaging (MRI).METHODS: In total 14 patients with gastroesophageal reflux disease (GERD) that was diagnosed with esophagogastroduodenoscopy and 24 - hour PH monitorization and undergoing LNF surgery were included. All patients underwent LNF surgery between October 2006 and March 2010. All patients were evaluated regarding gastric fundus and splenic circulation one week before and 15 days after the surgery with dynamic MRI. Alteration of the signal intensity before and after surgery was used to assess gastric fundus and splenic circulation.RESULTS: We detected a significant decrease in DeMeester score before and after surgery (p < 0.001). There were no statistical differences between preoperative and postoperative dynamic MRI measurements of the spleen, anterior wall measurements, posterior wall measurements in different MRI phases (Bonferroni corrected p ˃ 0.01). Postoperative measurements of anterior and posterior gastric wall measurements were comparable (Bonferroni corrected p ˃ 0.0033).CONCLUSIONS: We did not detect any significant differences in the abovementioned tissues regarding perfusion.

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

Sign in / Sign up

Export Citation Format

Share Document