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High gastric ulcer after Nissen fundoplication
The Medical Journal of Australia
|May 5, 1979
Summary
Nissen fundoplication can lead to gastric ulcers in a small percentage of patients, typically high on the lesser curve. Early endoscopic evaluation is crucial for epigastric pain following this surgery.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Nissen fundoplication is a common surgical procedure for gastroesophageal reflux disease.
- Understanding potential long-term complications is essential for patient management.
Observation:
- Three out of 100 patients developed gastric ulcers after Nissen fundoplication.
- Ulcers were located high on the lesser curve, near the cardia.
Findings:
- The ulcers presented between one and seven years post-surgery.
- Medical therapy was effective for most, but one patient required gastrectomy due to relapse.
- The exact cause is unknown, but vascular factors are hypothesized.
Implications:
- Patients with epigastric pain post-fundoplication need thorough endoscopic assessment.
- The cardia region may be a predilection site for ulcers after this procedure.