Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection

Carla Gillespie; Ada Ng; Richard Skipworth; Steven Leibman; Garett Smith

doi:10.4103/jmas.JMAS_286_19

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Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection

Authors

Gillespie, Carla¹
Ng, Ada¹
Skipworth, Richard¹
Leibman, Steven¹
Smith, Garett^{1, 2}

¹ Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, St Leonards, Sydney, Australia
² Sydney Medical School, University of Sydney, Sydney, Australia

Type

Published Article

Journal

Journal of Minimal Access Surgery

Publisher

Wolters Kluwer - Medknow

Publication Date

Sep 17, 2020

Volume

16

Issue

4

Pages

426–428

Identifiers

DOI: 10.4103/jmas.JMAS_286_19

PMID: 32978356

PMCID: PMC7597884

Source

PubMed Central

Keywords

License

Green

Abstract

The augmentation of hiatal repair for large hiatus hernia with mesh is controversial. There is some evidence that recurrence rates are less with mesh repair; however, there is a risk of mesh erosion. Complicated erosion may require complex revisional surgery and oesophagogastric resection. We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients.

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