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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2014; 6(9): 183-186
Published online Sep 27, 2014. doi: 10.4240/wjgs.v6.i9.183
Published online Sep 27, 2014. doi: 10.4240/wjgs.v6.i9.183
Gastric necrosis: A late complication of nissen fundoplication
Javier Salinas, Tihomir Georgiev, Juan Antonio González-Sánchez, José Antonio Rodríguez-Montes, Department of General Surgery, Hospital Universitario La Paz, Madrid 28046, Spain
Elena López-Ruiz, Department of Pathology, Hospital Universitario La Paz, Madrid 28046, Spain
Author contributions: Salinas J, Georgiev T and González-Sánchez JA performed the surgery; López-Ruiz E performed the anatomopathological examination; Salinas J reviewed current literature and wrote the paper; González-Sánchez JA and Rodríguez-Montes JA coordinated the paper elaboration and revised the article.
Correspondence to: Javier Salinas, MD, Department of General Surgery, Hospital Universitario La Paz, Paseo de la Castellana, 261, Madrid 28046, Spain. jsalinas@icomen.es
Telephone: +34-91-2071667 Fax: +34-91-2071064
Received: April 8, 2014
Revised: July 4, 2014
Accepted: July 17, 2014
Published online: September 27, 2014
Revised: July 4, 2014
Accepted: July 17, 2014
Published online: September 27, 2014
Core Tip
Core tip: Gastric necrosis is a rare condition because of the rich blood supply and the extensive submucosal vascular network of the stomach. “Gas-bloat” syndrome is a Nissen fundoplication postoperative complication that causes gastric dilatation, but very rarely an ischemic compromise of the organ. We report a case of a 63-year-old women, who presented a total gastric necrosis following laparoscopic Nissen fundoplication and we discuss technical aspects of the procedure that are important to prevent this complication.