Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair.
Fundoplication
Gastroesophageal reflux (GER)
Gastroschisis
Laparoscopic operation
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
04 Nov 2019
04 Nov 2019
Historique:
received:
31
05
2019
accepted:
09
10
2019
entrez:
6
11
2019
pubmed:
7
11
2019
medline:
7
11
2019
Statut:
epublish
Résumé
Esophageal hiatal hernia and gastroesophageal reflux have been recognized as inevitable complications after the definitive gastroschisis operation. Patients with refractory gastroesophageal reflux require anti-reflux surgery; however, the surgical adhesions may complicate subsequent surgical therapy, especially in the cases treated by staged repair. A male infant who showed a severe gastroesophageal reflux due to hiatal hernia after staged abdominal fascial closure of gastroschisis. In spite of continuous conservative management, frequent vomiting and hematemesis had become progressively worse at the age of 8 months. Laparoscopic Nissen fundoplication was attempted and completed with no adverse events. Laparoscopic fundoplication may be applied, as a first-line approach, for the treatment of gastroesophageal reflux in this difficult group of patients, after the repair of congenital abdominal wall defect.
Sections du résumé
BACKGROUND
BACKGROUND
Esophageal hiatal hernia and gastroesophageal reflux have been recognized as inevitable complications after the definitive gastroschisis operation. Patients with refractory gastroesophageal reflux require anti-reflux surgery; however, the surgical adhesions may complicate subsequent surgical therapy, especially in the cases treated by staged repair.
CASE PRESENTATION
METHODS
A male infant who showed a severe gastroesophageal reflux due to hiatal hernia after staged abdominal fascial closure of gastroschisis. In spite of continuous conservative management, frequent vomiting and hematemesis had become progressively worse at the age of 8 months. Laparoscopic Nissen fundoplication was attempted and completed with no adverse events.
CONCLUSIONS
CONCLUSIONS
Laparoscopic fundoplication may be applied, as a first-line approach, for the treatment of gastroesophageal reflux in this difficult group of patients, after the repair of congenital abdominal wall defect.
Identifiants
pubmed: 31686265
doi: 10.1186/s40792-019-0725-3
pii: 10.1186/s40792-019-0725-3
pmc: PMC6828906
doi:
Types de publication
Journal Article
Langues
eng
Pagination
167Références
Eur J Pediatr Surg. 1995 Dec;5(6):323-6
pubmed: 8773221
Arch Surg. 1999 Jul;134(7):747-52; discussion 752-3
pubmed: 10401827
Pediatr Surg Int. 1998 Jul;13(5-6):414-5
pubmed: 9639630
Arch Surg. 1979 Apr;114(4):505-10
pubmed: 435065
Pediatr Surg Int. 2009 Nov;25(11):973-6
pubmed: 19705131
Arch Surg. 1980 Apr;115(4):534-9
pubmed: 7189112
AJR Am J Roentgenol. 1985 Mar;144(3):589-91
pubmed: 3871569
JSLS. 2007 Oct-Dec;11(4):461-5
pubmed: 18237511
J Pediatr Surg. 2014 Mar;49(3):395-8
pubmed: 24650464
Pediatr Surg Int. 1996 Mar;11(2-3):103-6
pubmed: 24057527
J Pediatr Surg. 1999 Jul;34(7):1127-9
pubmed: 10442606
J Pediatr Surg. 1979 Oct;14(5):515-9
pubmed: 159944