[Subcardial ulcer and the Nissen technic. Apropos of a case of recovery by partial release of the fundoplication].
Gastric ulcer, an uncommon complication of Nissen technique, is nevertheless reported in all series (between 1 and 5% of cases). The authors report a case occurring after a complete fundoplication associated with a longitudinal stapling of the cardia (Rignault's procedure) which resolved after reoperation and transformation into a posterior hemi-valve. The pathogenesis of post-Nissen gastric ulcer is discussed; the mechanical factor appears to be decisive in the subcardial site. Surgical revision according to various modalities is generally unavoidable.
Houdelette
P
P
Kunkel
K
K
Moreau
X
X
Dumotier
J
J
D000328:Adult; D005748:Gastric Fundus / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D012086:Reoperation; D013276:Stomach Ulcer / Q000209:etiology* / Q000601:surgery
Ulcère sous-cardial et technique de Nissen. A propos d'une observation de Guérison par décomplètement de la fundo-plicature.