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Mark Kuhnke, MD; Roland Folse, MD

Arch Surg. 1987;122(9):1085-1087.

Abstract
• Two patients presented several years after Nissen fundoplication with dysphagia and/or hemorrhage. In both, the fundoplication was intact in the original relationship to the cardia but herniated gastric wall was found between the fundic wrap and the distal end of the esophagus. The diagnosis and alternatives for preventing this problem are presented.

(Arch Surg 1987;122:1085-1087)

Author Affiliations
From the Department of Surgery, Southern Illinois University School of Medicine, Springfield.

Footnotes
Accepted for publication Aug 14, 1986.

Reprints not available.

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