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Laparoscopic pyloroplasty for gastroparesis after Nissen fundoplication

D Mutter, MD, PhD, FACS HA Mercoli, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Dec 2014;14(12). URL: http://websurg.com/doi/vd01en4332

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  • 2014-12-15
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Authors demonstrate the management of laparoscopic pyloroplasty in a diabetic female patient presenting with severe gastroparesis after Nissen fundoplication. Gastroparesis is often known to be caused by a vagal nerve lesion during fundoplication, and can be improved by diabetes mellitus. If medical treatment is unsuccessful, a surgical approach is mandatory. Various techniques are described such as pyloroplasty, gastroenterostomy or gastric neurostimulation. We chose the procedure with minimal complications and best postoperative quality of life results as the first-line surgical treatment, namely laparoscopic pyloroplasty.