Gastric migration: a dreaded complication of Nissen fundoplicatio

Authors

  • Leonel Lozano Lugo Department of General Surgery, High Specialty Medical Unit 71, IMSS Torreon Coahuila, Mexico
  • David Eduardo Torres Ordaz Department of General Surgery, High Specialty Medical Unit 71, IMSS Torreon Coahuila, Mexico https://orcid.org/0000-0002-5849-0255
  • Cesar Ivan Grande Ramirez Department of General Surgery, High Specialty Medical Unit 71, IMSS Torreon Coahuila, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20243388

Keywords:

Nissen fundoplication complication, Gastric migration, Laparoscopic Nissen fundoplication

Abstract

Gastric migration after laparoscopic Nissen fundoplication is one of the most feared and least expected complications, due to the fact that it overshadows the patient's prognosis, increases the surgical risk of reoperation, as well as the anatomical difficulty of recurrence in previously manipulated tissues. Objectives to carry out a bibliographic review of the surgical management, the present evidence and the projected course in the approach to this complication, based on a case report. A 68-year-old female who presented on a scheduled basis with a history of multiple episodes of vomiting, with reports of several conclusive endoscopies with moderate erosive gastropathy and hiatal hernia of 4 cm as well as pylorus, non-assessable manometry and proposed surgical event of Nissen type fundus pylorus. Gastric migration is a potentially lethal complication where the only history of Nissen type fundoplication as an antecedent in the patient should arouse sufficient suspicion to direct an approach with potential surgical outcome as the only option for a patient that even if identified early, necrosis, pneumonia and comorbidities prevent a better prognosis.

References

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Published

2024-10-30

How to Cite

Lugo, L. L., Torres Ordaz, D. E., & Grande Ramirez, C. I. (2024). Gastric migration: a dreaded complication of Nissen fundoplicatio. International Journal of Research in Medical Sciences, 12(11), 4293–4295. https://doi.org/10.18203/2320-6012.ijrms20243388

Issue

Section

Case Reports