Academic Journal

Late esophageal wall injury after mesh repair for large esophageal hiatal hernia: a case report

التفاصيل البيبلوغرافية
العنوان: Late esophageal wall injury after mesh repair for large esophageal hiatal hernia: a case report
المؤلفون: Kentaro Yatabe, Soji Ozawa, Eisuke Ito, Junya Oguma, Akihito Kazuno, Miho Nitta, Yamato Ninomiya
المصدر: Surgical Case Reports, Vol 3, Iss 1, Pp 1-7 (2017)
بيانات النشر: SpringerOpen, 2017.
سنة النشر: 2017
المجموعة: LCC:Surgery
مصطلحات موضوعية: Hiatal hernia, Mesh erosion, Migration, Surgery, RD1-811
الوصف: Abstract Background Plication of an esophageal hiatus during surgery for esophageal hiatal hernia is a common practice; however, a mesh may be used if the hiatus is markedly enlarged. Recently, various late complications occurring as a result of mesh-induced esophageal and/or gastric wall injuries have been reported. Case presentation A 71-year-old woman presented at a neighborhood clinic in November 2010 with chief complaints of respiratory distress on exertion and heartburn. She was diagnosed as having a large esophageal hiatal hernia and was treated at our hospital using a laparoscopic Toupet fundoplication with mesh repair of the esophageal hiatus. Two years and 1 month after the operation, the patient complained of a bowel obstruction. An upper gastrointestinal endoscopy revealed that part of the mesh had extruded into the esophageal lumen, resulting in ulceration and stricture of the esophageal wall. Endoscopic balloon dilatation failed to improve the esophageal stricture. In July 2012, the patient underwent a lower esophagectomy with proximal gastrectomy and was discharged on the 25th hospital day. Conclusions We experienced a rare case requiring surgical treatment for a mesh-induced esophageal wall injury after surgery for a giant esophageal hiatal hernia. The selection of a soft, durable mash and its firm securement at a position distant from the gastrointestinal wall may be important to avoid late esophageal wall injury.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2198-7793
Relation: http://link.springer.com/article/10.1186/s40792-017-0401-4; https://doaj.org/toc/2198-7793
DOI: 10.1186/s40792-017-0401-4
URL الوصول: https://doaj.org/article/15af47ba36da46ca9b387a583c35475f
رقم الانضمام: edsdoj.15af47ba36da46ca9b387a583c35475f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:21987793
DOI:10.1186/s40792-017-0401-4