Late transmural mesh migration into the esophagus after Nissen fundoplication

Leitão, Cátia; Ribeiro, Helena; Caldeira, Ana Teresa; Sousa, R.; Banhudo, António

doi:10.1055/s-0042-105646

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…The use of mesh reduces recurrences from 40% to 2% in patients who have undergone open or laparoscopic Nissen fundoplication and cruroraphy (2,4). Long-term complications are scarce (6).…”

Section: Discussionmentioning

confidence: 99%

“…The clinic improved very quickly. Full thickness migration of the mesh to the stomach wall enabled diagnosis and removal of the mesh by upper gastrointestinal endoscopy (4,9). It has been reported in the literature that very few mesh migrations exceed full thickness (3,10).…”

Section: Discussionmentioning

confidence: 99%

“…Open and laparoscopic Nissen fundoplication surgeries are commonly performed for hiatus hernias (1)(2)(3). However, high recurrence rates have been reported after these operations (2,4). Therefore, to reduce recurrence rates, recurrences were reduced by using mesh after cruroraphy.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, to reduce recurrence rates, recurrences were reduced by using mesh after cruroraphy. Although there are mesh-related complications, recurrences have decreased significantly with the use of mesh (1,4,5). Complications related to mesh include severe fibrosis, erosion of the esophageal wall and mesh migration, esophageal strictures and related swallowing difficulties, esophagus and stomach perforation, etc.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Removal of Migrated Nissen Fundoplication Mesh

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ALTINSOY>

et al. 2022

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Laparoscopic Nissen fundoplication is known to be a safe and feasible method in the treatment of hiatal hernias. However, a recurrence rate of 42% has been reported. Using mesh repair in patients undergoing Nissen fundoplication has shown fewer recurrence rates than the primary suture, even though there have been few complications reported. Some complications that may occur with mesh placement are; severe fibrosis, esophageal strictures, esophageal perforations, mesh migration to the upper gastrointestinal tract, and mesh erosion in the intestinal wall, etc. In this report, the migration of the leathery esophagus developed after about 11 years was presented. In such cases, patients may have several surgical options. Among these options, the mesh was completely removed endoscopically. No further surgery was required. In conclusion, it is recommended to use a very selective mesh in the laparoscopic repair of the hiatal hernias, considering the surgeon's experience, hiatus anatomy, and patient's symptoms.

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“…The use of mesh reduces recurrences from 40% to 2% in patients who have undergone open or laparoscopic Nissen fundoplication and cruroraphy (2,4). Long-term complications are scarce (6).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Removal of Migrated Nissen Fundoplication Mesh

GÖNÜLLÜ>

Özaydın

ALTINSOY>

et al. 2022

Düzce Tıp Fakültesi Dergisi

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“…Closing hiatus routinely can reduce this complication by upto 80% [11]. Closing large hiatuses with grafts has been reported to prevent recurrences [12,13]; however, complications such as migration into lumen can be experienced with graft use [14].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Nissen fundoplication with mesh-hiatoplasty: Single center experience and early-term results

Kafadar¹,

Yalaza²,

Türkan³

et al. 2016

CIM

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Laparoscopic Nissen fundoplication with mesh-hiatoplasty: Single center experience and early-term results AbstractPurpose: In this study we report early-term results of laparoscopic Nissen fundoplication with mesh hiatoplasty that we perform to treat gastroesophageal reflux disease. Methods:We retrospectively reviewed the medical records of 68 patients who underwent laparoscopic Nissen fundoplication with mesh hiatoplasty at our clinic. Thirty-six (53%) patients were male and 32 (47%) were female. The mean age of the study population was 46.1 (25-72) years. All patients underwent endoscopy, esophagus pH metry and manometry before the operation. All operations were performed under general anesthesia using five ports. In addition to Nissen fundoplication, all patients also underwent polypropylene mesh placement.Results: Preoperatively, all patients reported a burning sensation in the chest and regurgitation of the stomach contents up into the mouth. The mean time from symptom onset to operation was 28 (6-84) months. All patients were diagnosed with esophagitis in the preoperative endoscopic examination. The mean operative time was 80 (40-125) minutes, the median duration of hospital stay was 1.2 (1-4) days and the median follow-up time was 12 (2-30) months. Functional outcome was excellent in 65% of patients, good in 24.5%, moderately good in 7% and poor in 3.5%. Conclusion:Fundoplication with mesh hiatoplasty is a surgical procedure performed for the traetment of gastroesophageal reflux disease and hiatal hernia. Surgery can be safely carried out with low morbidity and mortality rates and constitutes an alternative to long-term drug therapy. We believe that this operation is beneficial since it reduces the rate of recurrences to a significant degree.SUPPLEMENT

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