title: Intrathoracic herniation and perforation 18 years after open Nissen fundoplication.
abstract: Nissen fundoplication is the most commonly performed surgical procedure in the management of gastroesophageal reflux disease. Esophageal and gastric perforations most commonly occur in the perioperative period and carry significant morbidity. We describe a unique case of intrathoracic gastric wrap perforation and its suspected pathophysiology almost two decades after the original procedure.
authors.affiliation: Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0068, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Danetz
authors.forename: A M
authors.initials: AM
authors.lastname: Jayawant
authors.forename: J B
authors.initials: JB
authors.lastname: Dattilo
authors.forename: E J
authors.initials: EJ
authors.lastname: DeMaria
authors.forename: N M
authors.initials: NM
authors.lastname: Cohen
mesh_terms: D018662:Fundoplication / Q000009:adverse effects*; D006547:Hernia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013272:Stomach Diseases / Q000209:etiology*; D013275:Stomach Rupture / Q000209:etiology*; D013997:Time Factors