EDITOR'S QUIZ: GI SNAPSHOT
Oesophagogastric fistula: a post-operative complication
1 Department of General Surgery, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
2 Department of Radiology, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
3 Department of General Surgery, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
Correspondence to:
Correspondence to:
MrAhmed Alzaraa
28 Stoke Lane, Gedling, Nottingham, NG4 2QP, UK; ahmeddrlove@yahoo.co.uk
Abbreviations: GORD, gastro-oesophageal reflux disease
| The first 150 words of the full text of this article appear below. |
A 41-year-old man was diagnosed with gastro-oesophageal reflux disease (GORD) in 1993 when he took part in a clinical study. He was on H2 receptor antagonists and then proton-pump inhibitors until he was referred to the surgical clinic in 2001 for worsening reflux symptoms.
An upper gastrointestinal endoscopy was performed, which showed a large sliding hiatus hernia, a Barrett’s mucosa 3 cm in length, and distal gastritis. Oesophageal pH studies and manometry showed marked reflux disease and impaired motility in the distal oesophagus. A preoperative barium swallow showed a sliding hiatus hernia, considerable oesophageal reflux and erosions in the stomach.
The patient underwent trans-abdominal Lind fundoplication in 2003. He was discharged from the clinic after a full recovery. Eleven months after his surgery, he presented with recurrent severe reflux symptoms. He had a gastroendoscopy and a barium meal (figure 1
).
Figure 1 Oesophagogastric fistula shown after double-contrast barium ingestion.
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2007 56: 1231.[Extract] [Full Text] [PDF]
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