Subcardial ulcer and the Nissen technic. Apropos of a case of recovery by partial release of the fundoplication
Houdelette, P.; Kunkel, K.; Moreau, X.; Dumotier, J.
Annales de Chirurgie 43(4): 282-284
1989
ISSN/ISBN: 0003-3944 PMID: 2660720 Document Number: 344048
Gastric ulcer, an uncommon complication of Nissen technique, is nevertheless reported in all series (between 1 and 5% of cases). The authors report a case occurring after a complete fundoplication associated with a longitudinal stapling of the cardia (Rignault's procedure) which resolved after reoperation and transformation into a posterior hemi-valve. The pathogenesis of post-Nissen gastric ulcer is discussed; the mechanical factor appears to be decisive in the subcardial site. Surgical revision according to various modalities is generally unavoidable.