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Successful endoscopic mesh removal after laparoscopic Nissen fundoplication

Authors :
Víctor Valentí
Iago Rodríguez-Lago
Fernando Rotellar
Juan Carrascosa
Maite Betés
Miguel Muñoz-Navas
Source :
Europe PubMed Central, Scopus-Elsevier, Revista Española de Enfermedades Digestivas v.104 n.11 2012, SciELO España. Revistas Científicas Españolas de Ciencias de la Salud, instname
Publication Year :
2012
Publisher :
SciELO Espana/Repisalud, 2012.

Abstract

A 72-year-old male was admitted because of dysphagiafor solids and liquids. He had undergone a laparoscopic Nis-sen fundoplication due to erosive esophagitis and hiatal her-nia. Three years later, due to symptomatic recurrence of thehernia, surgery with placement of a polypropylene mesh wasindicated. After four years he developed epigastric pain anddysphagia for liquids. Gastroduodenoscopy showed apolypropylene mesh occluding almost all the esophageallumen (Fig. 1).The symptoms worsened, with dysphagia forsolids and liquids, with weight loss. First of all, we decidedto remove the mesh endoscopically.A first attempt was doneby exerting strong traction on the mesh with biopsy forcepswithout any result. At this point we looked for each one ofthe blue Prolene 3/0 (Fig. 2A) sutures and cut them with endo -scopic scissors FS – 3L1 and FS – 5U - 1 (Fig. 2B) (Olympus,Tokyo, Japan). The mesh was extracted successfully in two

Details

ISSN :
11300108
Volume :
104
Database :
OpenAIRE
Journal :
Revista Española de Enfermedades Digestivas
Accession number :
edsair.doi.dedup.....384ed491f31c51ac858b6d446452ade0