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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| container_title | Diseases of the esophagus |
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| creator | Baladas, H. G. Smith, G. S. Richardson, M. A. Dempsey, M. B. Falk, G. L. |
| description | 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. |
| doi_str_mv | 10.1046/j.1442-2050.2000.00083.x |
| format | Article |
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Causes for this rare complication are postulated.</description><subject>Esophageal Fistula - diagnosis</subject><subject>Fundoplication - methods</subject><subject>Gastric Fistula - diagnosis</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnosis</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1v2zAQhomiQeOk_QsBp25S-SWRDtChcNwmQAAvzkxQ5NGVQYuqKCH2vy9VG-mageAB99x75IMQpqSkRNTf9iUVghWMVKRkhJAyH8XL4we0eGt8zDVlpFD1Ulyjm5T2hFDJa_UJXVNKSMV5vUDdOsX-t9nFnUnj0Frs2zROweAENnbODCc8RjyCD7HDfQC3g_EeGzyYAbCNhz601oxtbvoYQnxtux0OpjdDTDb2c97UufhGfUZX3oQEXy73LXr5ud6uHovnza-n1Y_nwlaU8EI4JTnjtXAclJGNl4ybpRJOgPVOKM8Z8-AtqZYNM55WEmrBJTGSqcZBw2_R13NuP8Q_E6RRH9pkIQTTQZySlozJpWAig-oM2vziNIDX_dAe8rc1JXp2rfd6VqpnpXp2rf-51sc8enfZMTUHcP8HL3Iz8P0MvLYBTu8O1g-b7TpX_C-QDZAJ</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>Baladas, H. 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| fulltext | fulltext |
| identifier | ISSN: 1120-8694 |
| ispartof | Diseases of the esophagus, 2000, Vol.13 (1), p.72-74 |
| issn | 1120-8694 1442-2050 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72279424 |
| source | MEDLINE; Wiley Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Esophageal Fistula - diagnosis Fundoplication - methods Gastric Fistula - diagnosis Humans Laparoscopy Male Middle Aged Postoperative Complications - diagnosis |
| title | Esophagogastric fistula secondary to teflon pledget: a rare complication following laparoscopic fundoplication |
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