What to do in case of an endoscopic image of gastric necrosis or ischaemia post-funduplication? A case report

Ricardo-Raziel Peña; Ricardo H. Gallo; Carlo A. Tristán-Tenorio; Saúl E. J. Ruelas; Williams O. Ramírez-Miguel; Francisco Higuera-Hidalgo; Agustín Etchegaray-Dondé

doi:10.18203/2320-6012.ijrms20234004

Authors

Ricardo-Raziel Peña Department of General Surgery, Hospital General de México, Mexico City, Mexico
Ricardo H. Gallo Department of General Surgery, Hospital General de México, Mexico City, Mexico
Carlo A. Tristán-Tenorio Department of General Surgery, Hospital General de México, Mexico City, Mexico
Saúl E. J. Ruelas Department of General Surgery, Hospital General de México, Mexico City, Mexico
Williams O. Ramírez-Miguel Department of General Surgery, Hospital General de México, Mexico City, Mexico
Francisco Higuera-Hidalgo Department of General Surgery, Hospital General de México, Mexico City, Mexico
Agustín Etchegaray-Dondé Department of General Surgery, Hospital General de México, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20234004

Keywords:

Fundoplication, Gastric ischemia, Gastric necrosis, Gas blunt syndrome

Abstract

The association of gastric ischemia with a fundoplication is very rare and its management is not always surgical. The present paper describes the mechanism of post-fundoplication gastric ischemia that occurred in a patient diagnosed with gastroesophageal reflux disease treated with a Nissen-type gastric fundoplication. A clinical case of the Foregut Clinic of the Hospital General de Mexico (HGM) is presented. This is a 24-year-old patient undergoing a Nissen-type fundoplication who was discharged without eventualities and who presented intestinal occlusion, acute gastric dilation and gastric ischemia.

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