Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair
Abstract 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 subsequ...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2019-11-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0725-3 |
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| author | Ryuichiro Hirose Satoshi Obata Manabu Tojigamori Masatoshi Nakamura Shohei Taguchi Toru Arima |
| author_facet | Ryuichiro Hirose Satoshi Obata Manabu Tojigamori Masatoshi Nakamura Shohei Taguchi Toru Arima |
| author_sort | Ryuichiro Hirose |
| collection | DOAJ |
| description | Abstract 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 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 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. |
| format | Article |
| id | doaj-art-c5afdf6858a84de485f7a119e272810f |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-c5afdf6858a84de485f7a119e272810f2025-08-20T03:20:13ZengJapan Surgical SocietySurgical Case Reports2198-77932019-11-01511510.1186/s40792-019-0725-3Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repairRyuichiro Hirose0Satoshi Obata1Manabu Tojigamori2Masatoshi Nakamura3Shohei Taguchi4Toru Arima5Department of Pediatric Surgery, Kitakyushu Municipal Medical CenterDepartment of Pediatric Surgery, Kitakyushu Municipal Medical CenterDepartment of Pediatric Surgery, Kitakyushu Municipal Medical CenterDepartment of Pediatric Surgery, Kitakyushu Municipal Medical CenterDepartment of Pediatric Surgery, Kitakyushu Municipal Medical CenterDepartment of Pediatric Surgery, Kitakyushu Municipal Medical CenterAbstract 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 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 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.http://link.springer.com/article/10.1186/s40792-019-0725-3GastroschisisGastroesophageal reflux (GER)FundoplicationLaparoscopic operation |
| spellingShingle | Ryuichiro Hirose Satoshi Obata Manabu Tojigamori Masatoshi Nakamura Shohei Taguchi Toru Arima Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair Surgical Case Reports Gastroschisis Gastroesophageal reflux (GER) Fundoplication Laparoscopic operation |
| title | Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| title_full | Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| title_fullStr | Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| title_full_unstemmed | Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| title_short | Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| title_sort | laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair |
| topic | Gastroschisis Gastroesophageal reflux (GER) Fundoplication Laparoscopic operation |
| url | http://link.springer.com/article/10.1186/s40792-019-0725-3 |
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