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Acute intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication.
Surg Laparosc Endosc Percutan Tech. 2000 Apr; 10(2):99-102.SL

Abstract

A rare case of paraesophageal hernia with complete intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication is described. An 85-year-old woman who had undergone laparoscopic Nissen fundoplication for gastroesophageal reflux disease presented 14 months later with nausea and vomiting. Esophagogastroendoscopy showed obstruction of the esophagogastric junction and gastric mucosal necrosis. Emergency laparotomy showed the stomach to be entirely strangulated into the thorax, with areas of necrosis. Gastrotomy was followed by resection of the necrotic anterior wall of the stomach, closure of the hiatus, and suturing of the stomach to the diaphragm. Appropriate closure of crura and anchoring suture between the stomach and diaphragm are helpful to prevent recurrent hernia after laparoscopic Nissen fundoplication.

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Authors+Show Affiliations

Idani H
Department of Surgery, Fukuyama Municipal Hospital, Hiroshima, Japan.
Narusue M
No affiliation info available
Kin H
No affiliation info available
Uda K
No affiliation info available
Muro M
No affiliation info available
Kaneko A
No affiliation info available
Sasaki H
No affiliation info available
Watanabe K
No affiliation info available

MeSH

AgedAged, 80 and overFemaleFundoplicationGastrectomyHernia, HiatalHumansLaparoscopyRecurrenceSuture Techniques

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10789582

Citation

Idani, H, et al. "Acute Intrathoracic Incarceration of the Stomach After Laparoscopic Nissen Fundoplication." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 10, no. 2, 2000, pp. 99-102.
Idani H, Narusue M, Kin H, et al. Acute intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication. Surg Laparosc Endosc Percutan Tech. 2000;10(2):99-102.
Idani, H., Narusue, M., Kin, H., Uda, K., Muro, M., Kaneko, A., Sasaki, H., & Watanabe, K. (2000). Acute intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 10(2), 99-102.
Idani H, et al. Acute Intrathoracic Incarceration of the Stomach After Laparoscopic Nissen Fundoplication. Surg Laparosc Endosc Percutan Tech. 2000;10(2):99-102. PubMed PMID: 10789582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication. AU - Idani,H, AU - Narusue,M, AU - Kin,H, AU - Uda,K, AU - Muro,M, AU - Kaneko,A, AU - Sasaki,H, AU - Watanabe,K, PY - 2000/5/2/pubmed PY - 2000/6/10/medline PY - 2000/5/2/entrez SP - 99 EP - 102 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 10 IS - 2 N2 - A rare case of paraesophageal hernia with complete intrathoracic incarceration of the stomach after laparoscopic Nissen fundoplication is described. An 85-year-old woman who had undergone laparoscopic Nissen fundoplication for gastroesophageal reflux disease presented 14 months later with nausea and vomiting. Esophagogastroendoscopy showed obstruction of the esophagogastric junction and gastric mucosal necrosis. Emergency laparotomy showed the stomach to be entirely strangulated into the thorax, with areas of necrosis. Gastrotomy was followed by resection of the necrotic anterior wall of the stomach, closure of the hiatus, and suturing of the stomach to the diaphragm. Appropriate closure of crura and anchoring suture between the stomach and diaphragm are helpful to prevent recurrent hernia after laparoscopic Nissen fundoplication. SN - 1530-4515 UR - https://www.unboundmedicine.com/medline/citation/10789582/Acute_intrathoracic_incarceration_of_the_stomach_after_laparoscopic_Nissen_fundoplication_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10789582.ui DB - PRIME DP - Unbound Medicine ER -