Alpha 2.0
Login Register
» Articles » PMID: 19789668

Laparoscopic Redo Fundoplication for Intrathoracic Migration of Wrap

Overview
Journal J Minim Access Surg
Specialty Gastroenterology
Date 2009 Oct 1
PMID 19789668
Citations 1
Authors
G S Maheshkumar
Kalpech Jani
M V Madhankumar
C Palanivelu
Affiliations
Soon will be listed here.
Abstract

Laparoscopic fundoplication is fast emerging as the treatment of choice of gastro-esophageal reflux disease. However, a complication peculiar to laparoscopic surgery for this disease is the intrathoracic migration of the wrap. This article describes a case of a male patient who developed this particular complication after laparoscopic total fundoplication. Following a trauma, wrap migration occurred. The typical history and symptomatology is described. The classical Barium swallow picture is enclosed. Laparoscopic redo fundoplication was carried out. The difficulties encountered are described. Postoperative wrap migration can be suspected clinically by the presence of a precipitating event and typical symptomatology. Confirmation is by a Barium swallow. Treatment is by redo surgery.

Citing Articles

Post-fundoplication contrast studies: is there room for improvement?.

Raeside M, Madigan D, Myers J, Devitt P, Jamieson G, Thompson S Br J Radiol. 2011; 85(1014):792-9.

PMID: 21791506 PMC: 3474094. DOI: 10.1259/bjr/57095992.

References
1.
Hunter J, Smith C, Branum G, Waring J, Trus T, Cornwell M . Laparoscopic fundoplication failures: patterns of failure and response to fundoplication revision. Ann Surg. 1999; 230(4):595-604; discussion 604-6. PMC: 1420908. DOI: 10.1097/00000658-199910000-00015. View
2.
Granderath F, Schweiger U, Kamolz T, Uwe Asche K, Pointner R . Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study. Arch Surg. 2005; 140(1):40-8. DOI: 10.1001/archsurg.140.1.40. View
3.
Collet D, Zerbib F, Ledaguenel P, Perissat J . [Laparoscopic fundoplication for gastroesophageal reflux. Apropos of our first 123 patients]. Ann Chir. 1997; 51(10):1084-91. View
4.
Ringley C, Bochkarev V, Ahmed S, Vitamvas M, Oleynikov D . Laparoscopic hiatal hernia repair with human acellular dermal matrix patch: our initial experience. Am J Surg. 2006; 192(6):767-72. DOI: 10.1016/j.amjsurg.2006.08.042. View
5.
Zilberstein B, Eshkenazy R, Pajecki D, Granja C, Brito A . Laparoscopic mesh repair antireflux surgery for treatment of large hiatal hernia. Dis Esophagus. 2005; 18(3):166-9. DOI: 10.1111/j.1442-2050.2005.00494.x. View