Gastric migration: a dreaded complication of Nissen fundoplicatio
DOI:
https://doi.org/10.18203/2320-6012.ijrms20243388Keywords:
Nissen fundoplication complication, Gastric migration, Laparoscopic Nissen fundoplicationAbstract
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
Sobrino-Cossío S, Soto-Pérez JC, Coss-Adame E, Mateos-Pérez G, Teramoto Matsubara O, Tawil J, et al. Síntomas y complicaciones posfunduplicatura: abordaje diagnóstico y tratamiento. Revista Gastroenterol Mexico. 2017;82(3):234-47.
Casado-Maestre, Socas-Macias, Morales-Conde, Cristina MG, Antonio BM, Jean MCD, et al. Migracion intratorácica de funduplicatura asociado a vólvulo gástrico organoaxial. Revista Española Enfermedades Digestivas. 2012;104(10):546-7.
Matas AF, Giordano H, Campano Cruz I, Fernández Alonso A, Meus M, Gil Iriondo A, et al. Migration of gastric funduplicature with intratoractic perforation. Ann Mediterranean Surg. 2020;3(2):8-11.
O’Boyle CJ, Heer K, Smith A, Sedman PC, Brough WA, Royston CMS. Iatrogenic thoracic migration of the stomach complicating laparoscopic Nissen fundoplication. Surgical Endoscopy. 2000;14(6):540-2.
Dally E, Falk GL. Teflon pledget reinforced fundoplication causes symptomatic gastric and esophageal lumenal penetration. Am J Surg. 2004;187(2):226-9.
Doi T, Ichikawa S, Miyano G, Lane GJ, Miyahara K, Yamataka A. A new technique for preventing wrap disruption/migration after laparoscopic Nissen fundoplication: An experimental study. J Laparoendoscopic Adv Surgical Techn. 2008;18(1):179-82.
Ringley CD, Bochkarev V, Ahmed SI, Vitamvas ML, Oleynikov D. Laparoscopic hiatal hernia repair with human acellular dermal matrix patch: our initial experience. Am J Surg. 2006;192(6):767-72.
Balakrishnan S, Singhal T, Grandy-Smith S, Shuaib S, El-Hasani S. Acute transhiatal migration and herniation of fundic wrap following laparoscopic Nissen fundoplication. J Laparoendoscopic Adv Surg Techn. 2007;17(2):209-12.
Jansen M, Otto J. Mesh Migration into the Esophageal Wall After Mesh Hiatoplasty. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. 2010.
Martínez-Alcalá-García F, Pérez-Pozo JM, Alcalá FM. Late mesh migration after Nissen funduplication mimicking a gastric neoplasm. Revista Espanola Enfermedades Digestivas. 2019;111(1):80.
Watson DI, De Beaux AC. Complications of laparoscopic antireflux surgery. Surg Endosc. 2001;15:344352.