title: [Dislocation into the cardial lumen of a PTFE prosthesis used in the treatment of voluminous hiatal sliding hernia, A case report].
abstract: The authors report a case in which a PTFE prosthesis, used to treat a voluminous hiatal sliding hernia, dislocated inside the cardial lumen. Within two months the prosthesis had become decubitant and penetrated the cardial lumen, causing dysphagia, inappetence and weight loss. The use of radiological and tomographic imaging failed to provide a clear diagnosis; endoscopy alone was conclusive. Surgery was required to remove the prosthesis by resecting the distal esophagus and reconstructing the continuity of the digestive tract using terminolateral esophagogastric anastomosis (front wall of the stomach) in CEEA 21. The absence of a clear etiopathogenetic sequence of the migration of the prosthesis prompted the authors to stop using this type of surgery.
authors.affiliation: Divisione di Chirurgia Generale, Ospedale degli Infermi, Rivoli, Torino.
authors.forename: G
authors.initials: G
authors.lastname: Coluccio
authors.forename: S
authors.initials: S
authors.lastname: Ponzio
authors.forename: V
authors.initials: V
authors.lastname: Ambu
authors.forename: R
authors.initials: R
authors.lastname: Tramontano
authors.forename: G
authors.initials: G
authors.lastname: Cuomo
mesh_terms: D000368:Aged; D002299:Cardia; D004724:Endoscopy; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications; D011475:Prosthesis Failure; D011859:Radiography
chemical_list: D011138:Polytetrafluoroethylene