title: Gastric outlet obstruction secondary to paraesophageal herniation of gastric antrum after laparoscopic fundoplication.
abstract: The most common causes of acute gastric outlet obstruction (GOO) are duodenal and type 3 gastric ulcers. However, mechanical or functional causes may also lead to this pathology. Acute GOO is characterized by delayed gastric emptying, anorexia, or nausea accompanied by vomiting. Herein we report a 56-year-old man diagnosed with GOO secondary to paraesophageal hiatal herniation of gastric antrum after laparoscopic fundoplication. Because of the rarity of this disease, common gastrointestinal complaints may mislead the emergency physician to diagnose a nonsurgical gastrointestinal disease if a detailed history and physical examinations are not obtained.
authors: Department of Emergency Medicine, TOBB-ETU Hospital, Ankara, Turkey. Electronic address: scoskun_tr@yahoo.com.
authors: Selcuk
authors: S
authors: Coskun
authors: Department of General Surgery, Ankara Guven Hospital, Ankara, Turkey.
authors: Lutfi
authors: L
authors: Soylu
authors: Department of Emergency Medicine, Ankara Guven Hospital, Ankara, Turkey.
authors: Mahir
authors: M
authors: Sahin
authors: Department of Radiology, Ankara Guven Hospital, Ankara, Turkey.
authors: Taylan
authors: T
authors: Demiray
mesh_terms: D018662:Fundoplication / Q000379:methods; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology*; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011706:Pyloric Antrum
keywords: antral herniation; gastric outlet obstruction; laparoscopic fundoplication; paraesophageal hiatal hernia