Patuto Nicola, Acklin Yves, Oertli Daniel, Langer Igor
Department of Surgery, University Hospital Basel, Basel, Switzerland.
Langenbecks Arch Surg. 2008 Jan;393(1):45-7. doi: 10.1007/s00423-007-0216-z. Epub 2007 Aug 10.
Gastric necrosis after Nissen fundoplication is a rare and life-threatening complication described in paediatric surgery and in some experimental models. Prompt diagnosis and appropriate therapy of acute gastric dilatation is mandatory to avoid potentially fatal gastric necrosis.
This case report is the first one to describe a gastric necrosis in an adult as a late and very severe complication after Nissen fundoplication. Gastric dilatation and subsequent necrosis occurred 14 years after Nissen fundoplication because of small bowel obstruction based on adhesions.
Early diagnosis and treatment of gastric dilatation after Nissen fundoplication are essential to prevent from severe secondary complications but can be difficult to establish because of atypical symptoms.
尼氏胃底折叠术后胃坏死是小儿外科及一些实验模型中描述的一种罕见且危及生命的并发症。急性胃扩张的及时诊断和恰当治疗对于避免潜在致命的胃坏死至关重要。
本病例报告首次描述了一名成年人在尼氏胃底折叠术后出现胃坏死这一晚期且非常严重的并发症。由于粘连导致小肠梗阻，在尼氏胃底折叠术后14年发生了胃扩张及随后的坏死。
尼氏胃底折叠术后胃扩张的早期诊断和治疗对于预防严重的继发性并发症至关重要，但由于症状不典型可能难以确诊。
