Iatrogenic thoracic migration of the stomach complicating laparoscopic Nissen fundoplication

Citation
Cj. O'Boyle et al., Iatrogenic thoracic migration of the stomach complicating laparoscopic Nissen fundoplication, SURG ENDOSC, 14(6), 2000, pp. 540-542
Citations number
11
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
09302794 → ACNP
Volume
14
Issue
6
Year of publication
2000
Pages
540 - 542
Database
ISI
SICI code
0930-2794(200006)14:6<540:ITMOTS>2.0.ZU;2-#
Abstract
Background: Intrathoracic gastric herniation after laparoscopic Nissen fund oplication is an uncommon but potentially life-threatening complication tha t 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 surge ry. Eight of these nine patients (89%) had reported vomiting in the immedia te postoperative period. Seven patients (78%) reported persistent odynophag ia. A factor common to all patients was chat posterior crural repair had no t been performed. Conclusions: Measures should be undertaken to prevent postoperative vomitin g after laparoscopic Nissen fundoplication. Posterior crural repair is esse ntial after surgery in all cases.