Development of acute pancreatitis after Nissen fundoplication

Mikihiro Inoue, Keiichi Uchida, Kohei Otake, Masato Okigami, Tomoaki Maji, Masato Kusunoki

研究成果: Article査読

抄録

Acute pancreatitis subsequent to Nissen fundoplication for gastroesophageal reflux disease (GERD) is an extremely rare adverse event. We describe a pediatric case of acute pancreatitis resulting from superior mesenteric artery syndrome (SMAS) and gas bloat after fundoplication. Gas bloat is one of the known postoperative complications after Nissen fundoplication. Poor nutrition status, which is often associated with severe pediatric GERD, is a risk factor for SMAS. In this case, development of gas bloat and SMAS led to the formation of a closed loop and increased intraluminal pressure of the duodenum and pancreatic duct. Many pediatric patients who need anti-reflux surgery face the risk of developing this entity. Preventive measures, such as treatment with prokinetics and frequent small-volume meals, should be considered until improvement of nutritional status after fundoplication.

本文言語English
ページ(範囲)e48-e49
ジャーナルPediatrics International
57
2
DOI
出版ステータスPublished - 01-04-2015
外部発表はい

All Science Journal Classification (ASJC) codes

  • 小児科学、周産期医学および子どもの健康

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