| Necrosis of intraabdominal esophagus and proximal third of the stomach after proximal gastric vagotomy and fundoplication. | |
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MedLine Citation:
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PMID: 2305585 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lesser curve necrosis is a rare but known complication of proximal gastric vagotomy (PGV). Incidence seems to increase when PGV is combined with fundoplication. In reports of this complication, the necrosis was of various sizes, but generally limited to the lesser curve. We report a 54-year-old patient with hiatus hernia, severe peptic esophagitis, and increased acid output who developed necrosis of the whole intraabdominal esophagus, cardia, and proximal third of the stomach after PGV and fundoplication with division of several short gastric vessels. A proximal gastric resection with intrathoracic esophagogastric anastomosis had to be performed. After drainage of a subphrenic abscess, the patient made a complete recovery. When combining PGV with a fundoplication, an increased risk of necrosis of the stomach must be considered. Division of the short gastric arteries should be avoided and the original Nissen fundoplication is preferred. |
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Authors:
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C Ackermann; C Müller; F Harder |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: World journal of surgery Volume: 14 ISSN: 0364-2313 ISO Abbreviation: World J Surg Publication Date: 1990 Jan-Feb |
Date Detail:
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Created Date: 1990-03-23 Completed Date: 1990-03-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 133-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Basle, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Esophagus
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pathology Gastric Fundus / surgery* Humans Male Middle Aged Necrosis Reoperation Risk Factors Stomach / pathology Vagotomy, Proximal Gastric / adverse effects* |
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