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Dysphagia
Published in: Dysphagia 3/2003

01-08-2003 | Case Report

Relapsing Cardial Stenosis After Laparoscopic Nissen Treated by Esophageal Stenting

Authors: Philippe Pouderoux, MD, PhD, Eric Verdier, MD, Philippe Courtial, MD, Catherine Bapin, MD, Bernard Deixonne, MD, Jean-Louis Balmès, MD

Published in: Dysphagia | Issue 3/2003

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Abstract

Dysphagia after antireflux surgery is often a challenging situation. We report the case of a patient with relapsing cardial stricture and a weight loss of 24 kg following a laparoscopic Nissen procedure. Initial presentation was consistent with the diagnosis of pseudoachalasia and was resistant to endoscopic dilatation. Dysphagia was relieved by surgery, which showed cardial strangulation by tightly sutured diaphragmatic pillars. Symptoms and cardial stricture relapsed after a few months with no significant relief after repeated dilatations. Conservative treatment by endoscopic transcardial prosthesis for six weeks allowed a return to normal diet and a weight gain of 10 kg within a 30-month followup period.
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Metadata
Title
Relapsing Cardial Stenosis After Laparoscopic Nissen Treated by Esophageal Stenting
Authors
Philippe Pouderoux, MD, PhD
Eric Verdier, MD
Philippe Courtial, MD
Catherine Bapin, MD
Bernard Deixonne, MD
Jean-Louis Balmès, MD
Publication date
01-08-2003
Publisher
Springer-Verlag
Published in
Dysphagia / Issue 3/2003
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-002-0102-3

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