EDITOR'S QUIZ: GI SNAPSHOT
EDITOR’S QUIZ: GI SNAPSHOT
Abbreviations: GORD, gastro-oesophageal reflux disease
| The first 100% of the full text of this article appears below. |
From question on page 1225
An oesophagogastric fistula was found by the double-contrast barium. At endoscopy, the patient had an almost double-lumen oesophagus, with the lumen of the fistula as large as the true oesophagogastric lumen. The tone in the sphincter caused the endoscope to enter the fundus via the fistula rather than the normal route. At reoperation, the fistulous track was found and resected. No other causative factor could be identified. The symptoms resolved completely following the second operation and the patient was discharged.
Fistulae following operations on the gastro-oesophageal junction are rare, but should be considered in patients who have recurrent symptoms of gastro-oesophageal reflux disease following operations combining fundoplication or fundoplasty with other procedures on the oesophagus or the gastrooesophageal junction. In our patient, the aetiology was presumably ischaemic necrosis of the oesophageal muscle tube within the sutures used to secure the wrap.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- Oesophagogastric fistula: a post-operative complication
- A Alzaraa, C Kelty, G Jacob, and D White
Gut 2007 56: 1225.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
