What to do in case of an endoscopic image of gastric necrosis or ischaemia post-funduplication? A case report

Ricardo-Raziel Peña, Ricardo H. Gallo, Carlo A. Tristán-Tenorio, Saúl E. J. Ruelas, Williams O. Ramírez-Miguel, F. Higuera-Hidalgo, Agustín Etchegaray-Dondé
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Abstract

The association of gastric ischemia with a fundoplication is very rare and its management is not always surgical. The present paper describes the mechanism of post-fundoplication gastric ischemia that occurred in a patient diagnosed with gastroesophageal reflux disease treated with a Nissen-type gastric fundoplication. A clinical case of the Foregut Clinic of the Hospital General de Mexico (HGM) is presented. This is a 24-year-old patient undergoing a Nissen-type fundoplication who was discharged without eventualities and who presented intestinal occlusion, acute gastric dilation and gastric ischemia.
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如果内镜图像显示胃溃疡后出现胃坏死或缺血,该怎么办?病例报告
胃缺血与胃底折叠术有关的情况非常罕见,其治疗方法也不总是外科手术。本文描述了一名接受尼森型胃底折叠术治疗的胃食管反流病患者胃底折叠术后胃缺血的机制。本文介绍了墨西哥总医院(HGM)前肠诊所的一个临床病例。这是一名接受尼森型胃底折叠术的 24 岁患者,出院时没有出现任何意外情况,但出现了肠梗阻、急性胃扩张和胃缺血。
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