A study of fundoplication disruption and deformity.
Three distinct forms of postoperative breakdown after Nissen fundoplication have been discussed. Disruption and recurrent reflux is most common, with slipping occurring infrequently. For the first time, three patients developing a proximal gastric pouch deformity causing partial obstruction of the fundus without recurrent herniation are reported on. Two patients required remedial surgery.
D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications; D004941:Esophagitis / Q000150:complications; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D013270:Stomach / Q000601:surgery*; D013369:Subphrenic Abscess / Q000601:surgery