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Case Reports
. 2024 Mar 27;2024(3):rjae194.
doi: 10.1093/jscr/rjae194. eCollection 2024 Mar.

Early gastro-oesophageal junction perforation repaired using through-the-scope clips following Nissen fundoplication

Phelopatir Anthony  1 , Nagy Andrawis  1
Affiliations
Case Reports

Early gastro-oesophageal junction perforation repaired using through-the-scope clips following Nissen fundoplication

Phelopatir Anthony et al. J Surg Case Rep. .

Abstract

Early gastric and oesophageal perforations are rare following laparoscopic fundoplications, with an incidence of 0.9%. If managed operatively, omentopexy or redo-fundoplication may be employed. Here, we present the case of a septic 21 year old patient who presented with an early gastro-oesophageal perforation 7 days following laparoscopic Nissen fundoplication, which was successfully repaired endoscopically using haemostatic clips. To date, this technique of perforation repair in the setting of fundoplication has yet to be reported.

Keywords: endoscopy; fundoplication; laparoscopy; perforation.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Non-contrast CT abdomen/pelvis in axial view demonstrating diffuse intra-abdominal free fluid with multiple large locules of intraperitoneal free air.
Figure 2
Figure 2
Gastroscopic image demonstrating the pinhole defect of the GOJ at the 9 o’clock position (arrow).
Figure 3
Figure 3
Gastroscopic image demonstrating the successful application of haemostatic clips at the site of perforation (arrow).
Figure 4
Figure 4
Intravenous and oral contrast enhanced CT abdomen/pelvis on post-operative Day 5, in axial view, demonstrating the placement of haemostatic clips at the previous site of perforation (arrow), with no evidence of ongoing leak.
See this image and copyright information in PMC

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