caa a22 4500 47577907X CHVBK 20180406123639.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640000102 doi (NATIONALLICENCE)springer-10.1007/s004640000102 Iatrogenic thoracic migration of the stomach complicating laparoscopic Nissen fundoplication [Elektronische Daten] [C. J. O'Boyle, K. Heer, A. Smith, P. C. Sedman, W. A. Brough, C. M. S. Royston] Background: Intrathoracic gastric herniation after laparoscopic Nissen fundoplication is an uncommon but potentially life-threatening complication that may present in the early or late postoperative period. Methods: A retrospective analysis was performed on all patients undergoing antireflux surgery from December 1991 to June 1999. Results: Nine cases of gastric herniation occurred after 511 operations (0.17%). Patients presented with the condition 4 days to 29 months after surgery. Eight of these nine patients (89%) had reported vomiting in the immediate postoperative period. Seven patients (78%) reported persistent odynophagia. A factor common to all patients was that posterior crural repair had not been performed. Conclusions: Measures should be undertaken to prevent postoperative vomiting after laparoscopic Nissen fundoplication. Posterior crural repair is essential after surgery in all cases. Springer-Verlag New York Inc., 2000 Key words: Complication — Fundoplication — Gastric herniation — Laparoscopy nationallicence O'Boyle C. J. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut Heer K. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut Smith A. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut Sedman P. C. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut Brough W. A. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Stepping Hill Hospital, Poplar Grove, Stockport, Cheshire, England SK2 7JE, GB aut Royston C. M. S. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 540-542 0930-2794 14:6<540 2000 14 464 https://doi.org/10.1007/s004640000102 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000102 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- O'Boyle C. J. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut NATIONALLICENCE 700 1- Heer K. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut NATIONALLICENCE 700 1- Smith A. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut NATIONALLICENCE 700 1- Sedman P. C. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut NATIONALLICENCE 700 1- Brough W. A. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Stepping Hill Hospital, Poplar Grove, Stockport, Cheshire, England SK2 7JE, GB aut NATIONALLICENCE 700 1- Royston C. M. S. Department of Upper Gastrointestinal and Minimally Invasive Surgery, Hull Royal Infirmary, Anlaby Road, Kingston Upon Hull, East Yorkshire, England HU3 2JZ, GB aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 540-542 0930-2794 14:6<540 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer