Acute gastric dilatation: a life-threatening early complication following laparoscopic hiatus hernia repair

Melissa Wee, David S. Liu, Sarah K. Thompson

Research output: Contribution to journalReview article

Abstract

Laparoscopic anti‐reflux surgery prevents reflux of acidic and non‐acidic gastric fluid into the oesophagus but it may also inhibit belching. Therefore, any impairment of gastric outflow may lead to a closed‐loop obstruction and life‐threatening acute gastric dilatation.

We present a 69‐year‐old female who underwent a laparoscopic giant hiatus hernia repair and anterior (180°) fundoplication for reflux, epigastric pain and 16 kg of weight loss over a 2‐year period. Her medical history was significant for Parkinson's disease, depression, detrusor hypersensitivity and hypertension. Her regular medications included levodopa/benserazide, amitriptyline, mirabegron, verapamil and dithiazide.
Original languageEnglish
Number of pages3
JournalANZ Journal of Surgery
Early online date21 Aug 2020
DOIs
Publication statusE-pub ahead of print - 21 Aug 2020

Keywords

  • acute gastric dilatation
  • hiatus hernia repair
  • laparascopic surgery
  • anti-reflux surgery

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