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Steven A. Curley, MD; William Weaver, MD; Lawrence H. Wilkinson, MD; Gerald B. Demarest, MD

Arch Surg. 1987;122(7):781-783.

Abstract
• Numerous surgical procedures have been introduced to facilitate weight loss in morbidly obese individuals. Gastric reservoir reduction, wrapping the stomach with an inert fabric, is one such procedure. Nissen fundoplication has been performed in conjunction with this approach to prevent post-operative gastroesophageal reflux. Gastric perforation and functional gastroesophageal obstruction occurring as late as 71 months after this operation represent late complications. Perforation has developed in 14.6% of stomachs wrapped with polypropylene mesh. Nissen fundoplication may contribute to this complication.

(Arch Surg 1987;122:781-783)

Author Affiliations
From the Department of Surgery, University of New Mexico Hospital, Albuquerque.

Footnotes
Accepted for publication March 6, 1986.

Reprint requests to Department of Surgery, University of New Mexico Hospital, 2211 Lomas Blvd NE, Albuquerque, NM 87106 (Dr Demarest).

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