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A Newly Reported Late Complication of Endoscopic Fundoplication: A Case Report
Walid Bukhari1, Hager Aref1, Mohammed Ghunaim2
1International Medical Center, Jeddah 23324, Saudi Arabia.
Reports (MDPI)
|July 29, 2025
Summary
Endoscopic fundoplication for gastroesophageal reflux disease can lead to severe reflux years later. Early recognition of complications from this minimally invasive procedure is vital.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Endoscopic fundoplication is an emerging treatment for gastroesophageal reflux disease (GERD).
- While generally safe, endoscopic procedures can lead to adverse events and treatment failure.
Observation:
- A rare case of a male patient experiencing severe GERD years after endoscopic fundoplication is presented.
- The patient was diagnosed and managed laparoscopically for recurrent symptoms.
Findings:
- Endoscopic fundoplication, despite being minimally invasive, carries risks of significant long-term complications.
- Delayed severe reflux can occur years after the initial endoscopic intervention.
Implications:
- Early identification of complications following endoscopic fundoplication is crucial.
- Laparoscopic management may be necessary for managing late-onset GERD after endoscopic treatment.
- This case highlights the potential for serious adverse events associated with endoscopic GERD treatments.
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