Esophagogastric fistula: a rare complication of laparoscopic Nissen fundoplication

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Esophagogastric fistula: a rare complication of laparoscopic Nissen fundoplication

A 39-year-old Caucasian male, who had suffered since the age of 19 years from gastroesophageal reflux disease and had undergone laparoscopic Nissen fundoplication with initial resolution of his complaints four years earlier, presented with worsening of heartburn and a new onset of dysphagia. Endoscopy detected an ulcerated fistula orifice on the z-line. Retrograde vision revealed intact Nissen ...

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Diagnosis and Management of an Esophagogastric Fistula as a Rare Complication of Nissen Fundoplication

Esophagogastric fistula is a rare complication following Nissen fundoplication, with symptoms usually developing within weeks to 3 years postoperatively.1-3 Proposed mechanisms include recalcitrant reflux, erosion of sutures with Teflon pledgets, and damage associated with repeat procedures.1-3 Past reports describe management of the esophagogastric fistulae with antireflux medications, dilatio...

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Postoperative Chylous Ascites: A Rare Complication of Laparoscopic Nissen Fundoplication

The accumulation of chylous fluid in the abdominal cavity is an infrequent, yet alarming, complication in abdominal surgery. Laparoscopic fundoplication has assumed a central role in the surgical treatment of gastroesophageal reflux disease and is significantly altering the balance of therapy toward more common and earlier surgical intervention. We report the case of a 67-year-old woman with ga...

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Gastropericardial fistula as a delayed complication of a Nissen fundoplication.

A 41-year-old man presented to the emergency department with substernal chest pain and was found to have ST elevations in the inferior leads on his electrocardiogram. An emergent cardiac catheterization did not identify significant coronary narrowing. Computed tomography of the thorax demonstrated a pneumopericardium and a hiatal hernia. The patient had a complicated past surgical history, incl...

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Single-Site Nissen Fundoplication Versus Laparoscopic Nissen Fundoplication

BACKGROUND Advances in minimally invasive surgery have led to the emergence of single-incision laparoscopic surgery (SILS). The purpose of this study is to assess the feasibility of SILS Nissen fundoplication and compare its outcomes with traditional laparoscopic Nissen fundoplication. METHODS This is a retrospective study of 33 patients who underwent Nissen fundoplication between January 200...

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ژورنال

عنوان ژورنال: Annals of Gastroenterology

سال: 2016

ISSN: 1792-7463

DOI: 10.20524/aog.2016.0078