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Gastric necrosis complicating lately a Nissen fundoplication : Report of a case

Patuto, Nicola ; Acklin, Yves ; Oertli, Daniel ; Langer, Igor

In: Langenbeck's Archives of Surgery, 2008, vol. 393, no. 1, p. 45-47

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    Titre
    • Gastric necrosis complicating lately a Nissen fundoplication
      Report of a case
    Auteur
    • Patuto, Nicola. Department of Surgery, University Hospital Basel, Basel, Switzerland
    • Acklin, Yves. Department of Surgery, University Hospital Basel, Basel, Switzerland
    • Oertli, Daniel. Department of Surgery, University Hospital Basel, Basel, Switzerland
    • Langer, Igor. Department of Surgery, University Hospital Basel, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Langenbeck's Archives of Surgery, 2008, vol. 393, no. 1, p. 45-47. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:315176
    Summary
    Background: Gastric necrosis after Nissen fundoplication is a rare and life-threatening complication described in paediatric surgery and in some experimental models. Prompt diagnosis and appropriate therapy of acute gastric dilatation is mandatory to avoid potentially fatal gastric necrosis. Case report: This case report is the first one to describe a gastric necrosis in an adult as a late and very severe complication after Nissen fundoplication. Gastric dilatation and subsequent necrosis occurred 14years after Nissen fundoplication because of small bowel obstruction based on adhesions. Conclusion: Early diagnosis and treatment of gastric dilatation after Nissen fundoplication are essential to prevent from severe secondary complications but can be difficult to establish because of atypical symptoms