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Gastric volvulus complicating Nissen fundoplication.
Journal of Pediatric Surgery
|December 1, 1990
Summary
Gastric volvulus, a stomach twisting, can occur after Nissen fundoplication surgery for gastroesophageal reflux in children. This report details two pediatric cases, highlighting symptoms and predisposing factors for this rare complication.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- Gastroesophageal reflux is common in children, often treated with Nissen fundoplication.
- Nissen fundoplication involves wrapping the stomach fundus around the esophagus to prevent reflux.
- While generally safe, surgical procedures can have associated risks and complications.
Observation:
- Two pediatric patients developed gastric volvulus after undergoing Nissen fundoplication.
- One case presented as complete gastric volvulus, while the other was partial.
- Both patients exhibited distinct symptoms leading to the diagnosis.
Findings:
- Gastric volvulus is a potential, albeit rare, complication following Nissen fundoplication in pediatric patients.
- Specific pre-operative or post-operative factors may predispose children to developing gastric volvulus post-fundoplication.
- Understanding these factors is crucial for early diagnosis and management.
Implications:
- Highlights the importance of considering gastric volvulus in the differential diagnosis of children presenting with abdominal symptoms post-fundoplication.
- Suggests a need for further research into identifying and mitigating risk factors for gastric volvulus after Nissen fundoplication.
- Emphasizes the critical role of vigilant monitoring and prompt intervention for pediatric patients experiencing post-surgical complications.