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Gastric necrosis complicating lately a Nissen fundoplication. Report of a case

Patuto, Nicola and Acklin, Yves and Oertli, Daniel and Langer, Igor. (2008) Gastric necrosis complicating lately a Nissen fundoplication. Report of a case. Langenbeck's archives of surgery, Vol. 393, no. 1. pp. 45-47.

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Official URL: http://edoc.unibas.ch/dok/A6003048

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Abstract

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. CASE REPORT: 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. CONCLUSION: 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.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Ehemalige Einheiten Operative Fächer (Klinik) > Allgemein- und Viszeralchirurgie (Oertli)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Ehemalige Einheiten Operative Fächer (Klinik) > Allgemein- und Viszeralchirurgie (Oertli)
UniBasel Contributors:Oertli, Daniel
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Springer
ISSN:1435-2451
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:23 May 2014 08:33
Deposited On:23 May 2014 08:33

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