| UNUSUAL CASE |
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| Year : 2007 | Volume
: 3
| Issue : 3 | Page : 111-113 |
Laparoscopic redo fundoplication for intrathoracic migration of wrap
GS Maheshkumar, Kalpesh Jani, MV Madhankumar, C Palanivelu
Department of Minimal Access Surgery, GEM Hospital, 45A, Pankaja Mill Road, Coimbatore - 641 045, India
Correspondence Address:
Kalpesh Jani
GEM Hospital, 45A, Pankaja Mill Road, Coimbatore - 641 045, Tamilnadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.37195
Laparoscopic fundoplication is fast emerging as the treatment of choice of gastro-esophageal reflux disease. However, a complication peculiar to laparoscopic surgery for this disease is the intrathoracic migration of the wrap. This article describes a case of a male patient who developed this particular complication after laparoscopic total fundoplication. Following a trauma, wrap migration occurred. The typical history and symptomatology is described. The classical Barium swallow picture is enclosed. Laparoscopic redo fundoplication was carried out. The difficulties encountered are described. Postoperative wrap migration can be suspected clinically by the presence of a precipitating event and typical symptomatology. Confirmation is by a Barium swallow. Treatment is by redo surgery.
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