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ARTICLE |

Herniation of the Gastric Wall Through a Nissen Fundoplication FREE

Mark Kuhnke, MD; Roland Folse, MD
[+] Author Affiliations

Accepted for publication Aug 14, 1986.

Reprints not available.


Arch Surg. 1987;122(9):1085-1087. doi:10.1001/archsurg.1987.01400210123021
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• Two patients presented several years after Nissen fundoplication with dysphagia and/or hemorrhage. In both, the fundoplication was intact in the original relationship to the cardia but herniated gastric wall was found between the fundic wrap and the distal end of the esophagus. The diagnosis and alternatives for preventing this problem are presented.

(Arch Surg 1987;122:1085-1087)

REFERENCES

Polk HC:  Fundoplication for reflux esophagitis: Misadventures with the operation of choice . Ann Surg 1976;;183:645-652.
Leonardi HK, Ellis FH:  Complications of the Nissen fundoplication . Surg Clin North Am 1983;;63:1155-1165.
Leonardi HK, Crozier RE, Ellis FH:  Reoperation for complication of the Nissen fundoplication . J Thorac Cardiovasc Surg 1981;;81:50-56.
Negre JB:  Post-fundoplication symptoms . Ann Surg 1983;;198:698-700.
Zaloga GP, Cherrow B:  Postprandial hypoglycemia after Nissen fundoplication for reflux esophagitis . Gastroenterology 1983;;84:840-842.
Hirsig J, Baals H, Tuchschmid P, et al:  Dumping syndrome following Nissen's fundoplication: A cause for refusal to feed . J Pediatr Surg 1984;;19: 155-157.
Pinkerton JA, Thomas CY, Wilber R:  Closed loop obstruction of the stomach and duodenum: A complication of Nissen fundoplication . Am Surg 1979;;45:544.
Rossman F, Brantigan CO, Sawyer RB:  Obstructive complications of the Nissen fundoplication . Am J Surg 1979;;138:860-868.
Saik RP, Greenborg AG, Peskin GW:  A study of fundoplication disruption and deformity . Am J Surg 1977;;134:19-24.

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Polk HC:  Fundoplication for reflux esophagitis: Misadventures with the operation of choice . Ann Surg 1976;;183:645-652.
Leonardi HK, Ellis FH:  Complications of the Nissen fundoplication . Surg Clin North Am 1983;;63:1155-1165.
Leonardi HK, Crozier RE, Ellis FH:  Reoperation for complication of the Nissen fundoplication . J Thorac Cardiovasc Surg 1981;;81:50-56.
Negre JB:  Post-fundoplication symptoms . Ann Surg 1983;;198:698-700.
Zaloga GP, Cherrow B:  Postprandial hypoglycemia after Nissen fundoplication for reflux esophagitis . Gastroenterology 1983;;84:840-842.
Hirsig J, Baals H, Tuchschmid P, et al:  Dumping syndrome following Nissen's fundoplication: A cause for refusal to feed . J Pediatr Surg 1984;;19: 155-157.
Pinkerton JA, Thomas CY, Wilber R:  Closed loop obstruction of the stomach and duodenum: A complication of Nissen fundoplication . Am Surg 1979;;45:544.
Rossman F, Brantigan CO, Sawyer RB:  Obstructive complications of the Nissen fundoplication . Am J Surg 1979;;138:860-868.
Saik RP, Greenborg AG, Peskin GW:  A study of fundoplication disruption and deformity . Am J Surg 1977;;134:19-24.

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