Related Experiment Videos
Gastric ulceration after Nissen fundoplication
The British Journal of Surgery
|July 1, 1983
Summary
Nissen fundoplication can lead to gastric ulcers, often presenting with pain or bleeding, typically near the surgical site. Anatomical changes from the procedure are the likely cause.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Digestive Health
Background:
- Nissen fundoplication is a surgical procedure to treat gastroesophageal reflux disease.
- Post-fundoplication complications require thorough investigation to improve patient outcomes.
Purpose of the Study:
- To investigate the occurrence and characteristics of gastric ulcers following Nissen fundoplication.
- To identify potential etiological factors contributing to post-fundoplication gastric ulcers.
Main Methods:
- Retrospective analysis of thirteen patients who developed gastric ulcers after Nissen fundoplication.
- Review of patient symptoms, ulcer location, and association with recurrent hernias.
Main Results:
- Thirteen patients developed gastric ulcers 6 months to 8.5 years post-surgery.
- Common symptoms included epigastric pain and/or bleeding.
- Most ulcers (69%) were located high on the lesser curve near the fundoplication; 7 patients had recurrent hernias.
Conclusions:
- Anatomical distortion from Nissen fundoplication is a primary cause of gastric ulcers.
- Gastric distention, bile reflux gastritis, and ischemia may also contribute to ulcer formation.