Table 3 - Complications of Nissen fundoplication
From the following article
Surgical therapy for gastroesophageal reflux disease
Renee C. Minjarez and Blair A. Jobe
GI Motility online (2006)
doi:10.1038/gimo56
| Complication | Anatomic abnormality |
|---|---|
| Slipped fundoplication | Fundoplication has been erroneously placed or has slipped from original position down around upper stomach Avoided by incorporating partial thickness esophageal wall into fundoplication |
| Tight fundoplication | Fundoplication is too tight creating a functional stricture Avoided by creating a floppy Nissen around a 56-French or 60-French bougie |
| Dehiscence | Limbs of fundoplication have separated Avoided by minimizing tension, taking full-thickness bites using nonabsorbable suture |
| Herniation | Fundoplication and esophagogastric junction have herniated above the diaphragm Avoided by recognizing short esophagus and ensuring at least 2–3 cm intraabdominal esophagus for fundoplication |
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