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[Severe and late complications after Nissen's procedure]
B Launois1, E Bardaxoglou, B Meunier
1C.H.U. de Rennes.
Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1990
Summary
Nissen
Area of Science:
- Gastroenterology
- Surgical Complications
- Gastroesophageal Reflux Disease
Context:
- Nissen fundoplication is a surgical procedure for gastroesophageal reflux disease.
- Severe complications can arise years after the procedure.
- Patient demographics include middle-aged adults.
Purpose:
- To report on severe complications following Nissen fundoplication.
- To analyze the types and timing of these complications.
- To question the long-term indications for Nissen's procedure.
Summary:
- Eleven severe complications occurred in 8 patients, averaging 4 years and 7 months post-Nissen procedure.
- Complications included perforated gastric ulcers and abrupt hemorrhagic ulcers.
- Gastric emptying disorders and alkaline reflux are suspected causes.
Impact:
- Findings challenge the long-term use of Nissen fundoplication for GERD.
- Suggests medical management should be prioritized initially.
- Highlights the need for careful patient selection and monitoring.