Roux-en-Y gastrojejunostomy for severe GERD and recurrent intrathoracic herniation after mesh reinforced reoperation
Epublication WebSurg.com, Mar 2018;18(03). URL: http://websurg.com/doi/vd01en5228
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.