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Langenbeck's Archives of Surgery

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01-09-2007 | Case Management and Clinical Consequences

Pseudoachalasia occurring after laparoscopic Nissen fundoplication and crural mesh repair

Authors: Luigi Bonavina, Davide Bona, Greta Saino, Claudio Clemente

Published in: Langenbeck's Archives of Surgery | Issue 5/2007

Abstract

Background

Benign esophageal pseudoachalasia is a rare condition.

Discussion

We report the case of a 70-year-old man who complained of severe dysphagia after laparoscopic Nissen fundoplication and crural mesh repair performed for long-standing gastroesophageal reflux disease. Severe dysphagia and nocturnal aspiration developed soon after the operation. A marked dilatation of the esophageal body and a manometric pattern resembling achalasia was documented.

Results

Endoscopic balloon dilatation was ineffective. Five months after the initial operation, the patient underwent revisional laparoscopic surgery that consisted of Nissen’s wrap takedown, enlargement of the hiatus with partial resection of the mesh, Heller myotomy, and Dor fundoplication. After a 2-year follow-up, the patient is doing well and is free of symptoms.

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Title: Pseudoachalasia occurring after laparoscopic Nissen fundoplication and crural mesh repair
Authors: Luigi Bonavina
Davide Bona
Greta Saino
Claudio Clemente
Publication date: 01-09-2007
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 5/2007
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-007-0191-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pseudoachalasia occurring after laparoscopic Nissen fundoplication and crural mesh repair

Abstract

Background

Discussion

Results

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Discussion

Results

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