CASE REPORT   

Chirurgia 2023 February;36(1):52-5

DOI: 10.23736/S0394-9508.22.05425-0

Copyright © 2022 EDIZIONI MINERVA MEDICA

lingua: Inglese

Management of series of complications after a laparoscopic Nissen fundoplication

Georgi S. YANKOV ¹, Evgeni V. MEKOV ², Borislav G. VLADIMIROV ³, Mila D. KOVACHEVA-SLAVOVA ³ ✉

¹ Department of Thoracic Surgery, St. Ivan Rilsky University Hospital, Medical University of Sofia, Sofia, Bulgaria; ² Department of Occupational diseases, St. Ivan Rilsky University Hospital, Medical University of Sofia, Sofia, Bulgaria; ³ Department of Gastroenterology, Queen Yoanna-ISUL University Hospital, Medical University of Sofia, Sofia, Bulgaria

The introduction of laparoscopic techniques in the early 90’s changed the approach to the treatment of hiatal hernias, as they are now the gold standard and are routinely applied in the clinical praxis. We present a case of a 61-year-old man with severe complications after a laparoscopic Nissen fundoplication requiring a subtotal esophagectomy, cervical esophagostomy and nutritional jejunostomy. After a restoration of the gastrointestinal tract by a coloesophagoplasty, a stricture of the esophagocolic anastomosis developed. Due to a persistent dysphagia despite an endoscopic treatment, a resection of the stricture was performed, followed by a rapid recovery of the patient.

KEY WORDS: Hernia, hiatal; Fundoplication; Complications