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Gastric ulceration after fundoplication.

M L Yuen1, S Somers, F P McGrath

  • 1Department of Radiology, Chedoke-McMaster Hospitals, Hamilton, Ont.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|February 1, 1992
PubMed
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This summary is machine-generated.

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Gastric ulceration is a rare complication following fundoplication surgery for gastroesophageal reflux disease. Local ischemia and mechanical trauma are key factors in its development, requiring specific diagnostic attention.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Fundoplication is a surgical procedure for gastroesophageal reflux disease (GERD).
  • Gastric ulceration is an uncommon complication post-fundoplication, reported in 1-3% of cases.

Observation:

  • A review of 100 modified Belsey fundoplications identified four cases of gastric ulceration.
  • Ulcers were unusually located in the proximal stomach, appearing as early as one week post-surgery.

Findings:

  • Local ischemia and mechanical trauma are identified as significant contributors to post-fundoplication gastric ulceration.
  • Specialized diagnostic awareness and techniques are necessary for early detection.

Implications:

  • The altered gastric anatomy post-fundoplication may necessitate double-contrast barium studies over endoscopy for accurate visualization.

Related Experiment Videos

  • Clinicians should maintain high suspicion for gastric ulcers in patients experiencing relevant symptoms after fundoplication.