Gastric necrosis complicating lately a Nissen fundoplication. Report of a case.
BACKGROUND
Gastric necrosis after Nissen fundoplication is a rare and life-threatening complication described in paediatric surgery and in some experimental models. Prompt diagnosis and appropriate therapy of acute gastric dilatation is mandatory to avoid potentially fatal gastric necrosis.


METHODS
This case report is the first one to describe a gastric necrosis in an adult as a late and very severe complication after Nissen fundoplication. Gastric dilatation and subsequent necrosis occurred 14 years after Nissen fundoplication because of small bowel obstruction based on adhesions.


CONCLUSIONS
Early diagnosis and treatment of gastric dilatation after Nissen fundoplication are essential to prevent from severe secondary complications but can be difficult to establish because of atypical symptoms.
Patuto
Nicola
N
Department of Surgery, University Hospital Basel, Basel, Switzerland.
Acklin
Yves
Y
Oertli
Daniel
D
Langer
Igor
I
D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects*; D005743:Gastrectomy; D013271:Gastric Dilatation / Q000175:diagnosis* / Q000601:surgery; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D009336:Necrosis; D010538:Peritonitis / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D013270:Stomach / Q000473:pathology*; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis / Q000601:surgery
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