Esophago-wrap fistula as a delayed complication of laparoscopic Nissen fundoplication: A case report and surgical management strategy.

ABSTRACT:

Introduction and importance

Laparoscopic anti-reflux surgery (ARS), particularly Nissen fundoplication, is an established and effective treatment for gastroesophageal reflux disease (GERD). Although generally safe, rare complications can arise, including esophago-wrap fistula a seldom-reported but serious postoperative sequela.

Case presentation

We report the case of a 51-year-old male with a history of laparoscopic Nissen fundoplication performed 20 years prior, presenting with halitosis, excessive burping, and chronic diarrhea. Diagnostic evaluation with endoscopy and contrast esophagography revealed a fistulous tract between the esophagus and the gastric fundus within the wrap. Surgical exploration confirmed esophago-wrap fistula along with a recurrent hiatal hernia, wrap

SUBMITTER: Halawani HM 

PROVIDER: S-EPMC12495282 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature