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Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case.
Surg Today. 2001; 31(2):156-8.ST

Abstract

A postoperative hiatal hernia is a rare but serious complication of fundoplication. We report herein a 62-year-old female who presented with abdominal pain and vomiting 2 years following laparoscopic Nissen fundoplication. At laparotomy, the stomach and the transverse colon were intrathoracic (type IV hiatal hernia); the esophageal hiatus was markedly dilated with no evidence that they had been approximated. At 18 months follow-up, she is doing very well apart from occasional heartburn. A high index of suspicion is needed to diagnose postoperative hiatal hernias. A routine closure of the crura with nonabsorbable suture material and an avoidance of iatrogenic pneumothorax may help to reduce the occurrence of this problem.

Authors+Show Affiliations

Awad ZT
St. Columcilles Hospital, Loughlinstown, Co. Dublin, Republic of Ireland.
Magee DJ
No affiliation info available
Wanis N
No affiliation info available
Firozvi A
No affiliation info available

MeSH

Abdominal PainFemaleFundoplicationGastroesophageal RefluxHernia, HiatalHumansLaparoscopyMiddle AgedVomiting

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11291711

Citation

Awad, Z T., et al. "Type IV Hiatal Hernia Post Laparoscopic Nissen Fundoplication: Report of a Case." Surgery Today, vol. 31, no. 2, 2001, pp. 156-8.
Awad ZT, Magee DJ, Wanis N, et al. Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. Surg Today. 2001;31(2):156-8.
Awad, Z. T., Magee, D. J., Wanis, N., & Firozvi, A. (2001). Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. Surgery Today, 31(2), 156-8.
Awad ZT, et al. Type IV Hiatal Hernia Post Laparoscopic Nissen Fundoplication: Report of a Case. Surg Today. 2001;31(2):156-8. PubMed PMID: 11291711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. AU - Awad,Z T, AU - Magee,D J, AU - Wanis,N, AU - Firozvi,A, PY - 2001/4/9/pubmed PY - 2001/6/19/medline PY - 2001/4/9/entrez SP - 156 EP - 8 JF - Surgery today JO - Surg Today VL - 31 IS - 2 N2 - A postoperative hiatal hernia is a rare but serious complication of fundoplication. We report herein a 62-year-old female who presented with abdominal pain and vomiting 2 years following laparoscopic Nissen fundoplication. At laparotomy, the stomach and the transverse colon were intrathoracic (type IV hiatal hernia); the esophageal hiatus was markedly dilated with no evidence that they had been approximated. At 18 months follow-up, she is doing very well apart from occasional heartburn. A high index of suspicion is needed to diagnose postoperative hiatal hernias. A routine closure of the crura with nonabsorbable suture material and an avoidance of iatrogenic pneumothorax may help to reduce the occurrence of this problem. SN - 0941-1291 UR - https://www.unboundmedicine.com/medline/citation/11291711/Type_IV_hiatal_hernia_post_laparoscopic_Nissen_fundoplication:_report_of_a_case_ DB - PRIME DP - Unbound Medicine ER -