Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair

Springer Science and Business Media LLC - Tập 5 - Trang 1-5 - 2019
Ryuichiro Hirose1,2, Satoshi Obata1,3, Manabu Tojigamori1,4, Masatoshi Nakamura1,5, Shohei Taguchi1, Toru Arima1,6
1Department of Pediatric Surgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan
2Department of General Thoracic, Breast, and Pediatric Surgery, Fukuoka University, Fukuoka, Japan
3Department of Pediatric Surgery, Kyushu University, Fukuoka, Japan
4Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Yufu, Japan
5Department of Pediatric Surgery, Aso Iizuka Hospital, Iizuka, Japan
6Department of Pediatrics, Tobata Kyoritsu Hospital, Kitakyushu, Japan

Tóm tắt

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.

Tài liệu tham khảo

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