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Acquired volvulus following Nissen fundoplication
L Ashok1, L Anand, R Surendran
1Department of Medical and Surgical Gastroenterology, Stanley Medical College Hospital, Chennai.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|September 17, 2003
Summary
Nissen fundoplication, a surgery for acid reflux, can rarely lead to gastric volvulus. This case report details the formation and surgical correction of this rare complication.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Gastroesophageal reflux disease (GERD) is commonly managed with Nissen fundoplication.
- Open fundoplication is a standard surgical approach for refractory GERD.
Observation:
- A rare case of acquired gastric volvulus occurred after open Nissen fundoplication.
- The patient presented with symptoms indicative of gastric outlet obstruction.
Findings:
- The gastric volvulus was attributed to altered anatomy and adhesions post-fundoplication.
- Surgical correction involved derotation and gastropexy to stabilize the stomach.
Implications:
- This case highlights a potential, albeit uncommon, complication of Nissen fundoplication.
- Understanding the mechanism is crucial for timely diagnosis and management of gastric volvulus after anti-reflux surgery.