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Minerva Chirurgica 2000 May;55(5):341-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Dislocation into the cardia of a PTFE prosthesis used to treat hiatal sliding hernia. A case report

Coluccio G., Ponzio S., Ambu V., Tramontano R., Cuomo G.

The authors report a case in which a PTFE prosthesis, used to treat a voluminous hiatal sliding hernia, dislocated inside the cardial lumen. Within two months the prosthesis had become decubitant and penetrated the cardial lumen, causing dysphagia, inappetence and weight loss. The use of radiological and tomographic imaging failed to provide a clear diagnosis; endoscopy alone was conclusive. Surgery was required to remove the prosthesis by resecting the distal esophagus and reconstructing the continuity of the digestive tract using terminolateral esophagogastric anastomosis (front wall of the stomach) in CEEA 21. The absence of a clear etiopathogenetic sequence of the migration of the prosthesis prompted the authors to stop using this type of surgery.