Cargando…
Gastric necrosis late after a Collis-Nissen procedure
A Nissen procedure is an efficient surgical approach to treat gastroesophageal reflux disease. It is sometimes combined with a Collis gastroplasty to lengthen the functional distal esophagus to allow a 360° Nissen fundoplication without tension. We present the case of a 76-year-old female patient, w...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796164/ https://www.ncbi.nlm.nih.gov/pubmed/31636886 http://dx.doi.org/10.1093/jscr/rjz272 |
_version_ | 1783459536851435520 |
---|---|
author | Misheva, Bojana Hajjar, Roy Schwenter, Frank Martin, Jocelyne Sebajang, Herawaty |
author_facet | Misheva, Bojana Hajjar, Roy Schwenter, Frank Martin, Jocelyne Sebajang, Herawaty |
author_sort | Misheva, Bojana |
collection | PubMed |
description | A Nissen procedure is an efficient surgical approach to treat gastroesophageal reflux disease. It is sometimes combined with a Collis gastroplasty to lengthen the functional distal esophagus to allow a 360° Nissen fundoplication without tension. We present the case of a 76-year-old female patient, with a history of a Collis-Nissen procedure, who developed extensive gastric necrosis after ingesting a significant quantity of maize. She underwent an urgent total gastrectomy with Roux-en-Y esophagojejunostomy. The cause of ischemia and necrosis in this case is believed to be an insufficient blood supply due to excessive intraluminal pressure. Necrosis of the gastric cavity is usually more likely to be due to venous insufficiency as veins’ walls are less resistant to compression than arterial vessels. Gastric necrosis after a Collis-Nissen procedure is exceedingly rare, and symptoms of such a complication are usually vague and not pathognomonic, which might delay surgical care and increase morbidity. |
format | Online Article Text |
id | pubmed-6796164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-67961642019-10-21 Gastric necrosis late after a Collis-Nissen procedure Misheva, Bojana Hajjar, Roy Schwenter, Frank Martin, Jocelyne Sebajang, Herawaty J Surg Case Rep Case Report A Nissen procedure is an efficient surgical approach to treat gastroesophageal reflux disease. It is sometimes combined with a Collis gastroplasty to lengthen the functional distal esophagus to allow a 360° Nissen fundoplication without tension. We present the case of a 76-year-old female patient, with a history of a Collis-Nissen procedure, who developed extensive gastric necrosis after ingesting a significant quantity of maize. She underwent an urgent total gastrectomy with Roux-en-Y esophagojejunostomy. The cause of ischemia and necrosis in this case is believed to be an insufficient blood supply due to excessive intraluminal pressure. Necrosis of the gastric cavity is usually more likely to be due to venous insufficiency as veins’ walls are less resistant to compression than arterial vessels. Gastric necrosis after a Collis-Nissen procedure is exceedingly rare, and symptoms of such a complication are usually vague and not pathognomonic, which might delay surgical care and increase morbidity. Oxford University Press 2019-10-17 /pmc/articles/PMC6796164/ /pubmed/31636886 http://dx.doi.org/10.1093/jscr/rjz272 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Misheva, Bojana Hajjar, Roy Schwenter, Frank Martin, Jocelyne Sebajang, Herawaty Gastric necrosis late after a Collis-Nissen procedure |
title | Gastric necrosis late after a Collis-Nissen procedure |
title_full | Gastric necrosis late after a Collis-Nissen procedure |
title_fullStr | Gastric necrosis late after a Collis-Nissen procedure |
title_full_unstemmed | Gastric necrosis late after a Collis-Nissen procedure |
title_short | Gastric necrosis late after a Collis-Nissen procedure |
title_sort | gastric necrosis late after a collis-nissen procedure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796164/ https://www.ncbi.nlm.nih.gov/pubmed/31636886 http://dx.doi.org/10.1093/jscr/rjz272 |
work_keys_str_mv | AT mishevabojana gastricnecrosislateafteracollisnissenprocedure AT hajjarroy gastricnecrosislateafteracollisnissenprocedure AT schwenterfrank gastricnecrosislateafteracollisnissenprocedure AT martinjocelyne gastricnecrosislateafteracollisnissenprocedure AT sebajangherawaty gastricnecrosislateafteracollisnissenprocedure |