ISSN:
1432-2218
Keywords:
Key words: Complication — Fundoplication — Gastric herniation — Laparoscopy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: Intrathoracic gastric herniation after laparoscopic Nissen fundoplication is an uncommon but potentially life-threatening complication that may present in the early or late postoperative period. Methods: A retrospective analysis was performed on all patients undergoing antireflux surgery from December 1991 to June 1999. Results: Nine cases of gastric herniation occurred after 511 operations (0.17%). Patients presented with the condition 4 days to 29 months after surgery. Eight of these nine patients (89%) had reported vomiting in the immediate postoperative period. Seven patients (78%) reported persistent odynophagia. A factor common to all patients was that posterior crural repair had not been performed. Conclusions: Measures should be undertaken to prevent postoperative vomiting after laparoscopic Nissen fundoplication. Posterior crural repair is essential after surgery in all cases.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004640000102
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