Transmural mesh fistula due to composite mesh after Nissen fundoplication

Transmural mesh fistula due to composite mesh after Nissen fundoplication

Laparoscopic approaches are now commonly used to treat gastroesophageal reflux disease. Some of the postoperative complications are specific to both open and laparoscopic Nissen fundoplication such as esophageal and gastric perforations, pneumothorax and esophagogastric fistulas. It can be treated conservatively with antisecretory agents or endoscopically with clip application. We reported a patient who developed fistula after laparoscopic Nissen fundoplication and was reoperated.