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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...

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Autores principales: Misheva, Bojana, Hajjar, Roy, Schwenter, Frank, Martin, Jocelyne, Sebajang, Herawaty
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
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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.
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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
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