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Roux-en-Y gastrojejunostomy for severe GERD and recurrent intrathoracic herniation after mesh reinforced reoperation

S Perretta, MD, PhD B Dallemagne, MD B Seeliger, MD D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2018;18(03). URL: http://websurg.com/doi/vd01en5228

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  • 2018-03-20
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We present the case of a recurrent intrathoracic herniation after Nissen fundoplication for GERD and redo procedure with Crurasoft® mesh crural reinforcement for recurrent GERD and intrathoracic migration. The patient had a BMI of 36 and presented with recurrent GERD and regurgitations. Intraoperatively, considering the patient’s BMI and extensive tissue scarring due to the previous mesh repair, a Roux-en-Y gastrojejunostomy is privileged over a redo Nissen fundoplication.