Laparoscopic transgastric gastroplasty: A novel technique for a large esophagogastric fistula

Daniel T. McKenna, Kathryn Ziegler, Don Selzer

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Esophagogastric fistula is a rare complication related to severe inflammation at the gastroesophageal junction. Most causes are related to severe gastroesophageal reflux disease, previous surgery, or malignancy. This is the case of a 72-year-old man who had a laparoscopic Nissen fundoplication. He developed an esophageal obstruction from an intraesophageal pledget. It was removed laparoscopically, and the esophagotomy was buttressed with a Nissen fundoplication. Two months later he developed severe dysphagia, and an esophagogastric fistula was diagnosed. This was a large fistula measuring 20mm in diameter. A novel hybrid technique was used to divide the fundoplication. Under endoscopic guidance, a 12-mm balloon-tipped trocar was inserted transgastrically. A linear-cutting surgical stapler was used to divide the fundoplication and reopen the gastroesophageal junction. The patient had no further dysphagia or gastroesophageal reflux.

Original languageEnglish (US)
Pages (from-to)574-577
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2014

    Fingerprint

ASJC Scopus subject areas

  • Surgery

Cite this