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Iatrogenic thoracic migration of the stomach complicating laparoscopic nissen fundoplication.
Surg Endosc. 2000 Jun; 14(6):540-2.SE

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.

Authors+Show Affiliations

O'Boyle CJ
Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ.
Heer K
No affiliation info available
Smith A
No affiliation info available
Sedman PC
No affiliation info available
Brough WA
No affiliation info available
Royston CM
No affiliation info available

MeSH

AdultAgedFemaleFundoplicationGastroesophageal RefluxHernia, HiatalHumansIatrogenic DiseaseLaparoscopyLaparotomyMaleMiddle AgedPregnancyPrognosisRetrospective StudiesTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10890961

Citation

O'Boyle, C J., et al. "Iatrogenic Thoracic Migration of the Stomach Complicating Laparoscopic Nissen Fundoplication." Surgical Endoscopy, vol. 14, no. 6, 2000, pp. 540-2.
O'Boyle CJ, Heer K, Smith A, et al. Iatrogenic thoracic migration of the stomach complicating laparoscopic nissen fundoplication. Surg Endosc. 2000;14(6):540-2.
O'Boyle, C. J., Heer, K., Smith, A., Sedman, P. C., Brough, W. A., & Royston, C. M. (2000). Iatrogenic thoracic migration of the stomach complicating laparoscopic nissen fundoplication. Surgical Endoscopy, 14(6), 540-2.
O'Boyle CJ, et al. Iatrogenic Thoracic Migration of the Stomach Complicating Laparoscopic Nissen Fundoplication. Surg Endosc. 2000;14(6):540-2. PubMed PMID: 10890961.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iatrogenic thoracic migration of the stomach complicating laparoscopic nissen fundoplication. AU - O'Boyle,C J, AU - Heer,K, AU - Smith,A, AU - Sedman,P C, AU - Brough,W A, AU - Royston,C M, PY - 2000/7/13/pubmed PY - 2000/9/9/medline PY - 2000/7/13/entrez SP - 540 EP - 2 JF - Surgical endoscopy JO - Surg Endosc VL - 14 IS - 6 N2 - 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. SN - 0930-2794 UR - https://www.unboundmedicine.com/medline/citation/10890961/Iatrogenic_thoracic_migration_of_the_stomach_complicating_laparoscopic_nissen_fundoplication_ L2 - https://doi.org/10.1007/s004640000102 DB - PRIME DP - Unbound Medicine ER -