Herniation of the gastric wall through a Nissen fundoplication.
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.
D000368:Aged; D004943:Esophagogastric Junction / Q000601:surgery*; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006547:Hernia / Q000209:etiology; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013272:Stomach Diseases / Q000209:etiology* / Q000601:surgery