FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 346:328-332 January 31, 2002 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Laparoscopic approaches are now commonly used to treat gastroesophageal reflux disease.^1,2 Many studies have demonstrated the safety, efficacy, and durability of these minimal-access procedures.³ However, the learning curve for performing laparoscopic surgery in patients with reflux disease is steep,⁴ and intraoperative complications can be life-threatening.³ Reviews of long-term complications have shown that failed repairs (a "slipped wrap" or paraesophageal or hiatal hernia) can cause substantial morbidity.^3,5 We report a case in which a life-threatening, gastropericardial fistula was a late complication of a laparoscopic Nissen procedure.

Case Report

A 70-year-old man who was visiting Boston came to the emergency room in January 1998 . . . [Full Text of this Article]

Discussion

Source Information

From the Department of Cardiothoracic Surgery, Cleveland Clinic Foundation, Cleveland (S.M.); Milton Hospital, Milton, Mass. (J.L.); and the Division of Thoracic Surgery, Brigham and Women's Hospital, Boston (M.T.J.).

Address reprint requests to Dr. Jaklitsch at the Division of Thoracic Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

References

This article has been cited by other articles:

• Pop, D., Venissac, N., Rami, L., Mouroux, J. (2007). Gastropericardial fistula after laparoscopic surgery for gastroesophageal reflux disease. J. Thorac. Cardiovasc. Surg. 133: 1676-1677 [Full Text]  
• Sihvo, E. I. T., Rasanen, J. V., Hynninen, M., Rantanen, T. K., Salo, J. A. (2006). Gastropericardial Fistula, Purulent Pericarditis, and Cardiac Tamponade After Laparoscopic Nissen Fundoplication. Ann. Thorac. Surg. 81: 356-358 [Abstract] [Full Text]  
• Person, T. D., Komanapalli, C. B., Chaugle, H., Sukumar, M. S., Sheppard, B., Schipper, P. H. (2005). Transhiatal gastrobronchial fistula: A case report. J. Thorac. Cardiovasc. Surg. 130: 914-915 [Full Text]