Esophagogastric fistula secondary to teflon pledget: a rare complication following laparoscopic fundoplication
Laparoscopic fundoplication has become the standard operation for gastroesophageal reflux disease. In our service, a laparoscopic fundoplication is performed as a 2‐cm floppy 360° wrap with division of the short gastric vessels and the fundoplication is sutured using a prolene 2/0 mattress suture (E...
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Veröffentlicht in: | Diseases of the esophagus 2000, Vol.13 (1), p.72-74 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Laparoscopic fundoplication has become the standard operation for gastroesophageal reflux disease. In our service, a laparoscopic fundoplication is performed as a 2‐cm floppy 360° wrap with division of the short gastric vessels and the fundoplication is sutured using a prolene 2/0 mattress suture (Ethicon, USA) and buttressed laterally with two teflon pledgets (PTFE 1.85 mm; low porosity, Bard, USA). We report a patient with post‐operative dysphagia due to an esophagogastric fistula caused by erosion of a teflon pledget. This is the first such case in 734 laparoscopic fundoplications performed between January 1991 and December 1998. Reoperation was required, resulting in a prolonged convalescence. A review of current literature has not revealed any similar cases. Causes for this rare complication are postulated. |
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ISSN: | 1120-8694 1442-2050 |
DOI: | 10.1046/j.1442-2050.2000.00083.x |