Severe dysphagia after antireflux surgery: a rare case of esophageal hiatal stenosis


Severe and persistent dysphagia (PD) due to a stenosis of the esophageal hiatus is a serious and rare complication after antireflux procedures. In the case report presented here, the treatment of dysphagia, which arose eight weeks after surgery and progressively worsened, required a new laparoscopic approach. The re-intervention undertaken allowed us to identify the cause of the dysphagia, a tight hiatal stenosis, and to treat it successfully.

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Correspondence to Adolfo Renzi.

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Adolfo Renzi, Gianluca Minieri, Guido Coretti, Michele Di Marzo, Antonia Di Sarno, Giovanni Odierna, Domenico Barbato and Gianni Barone declare that they have no conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Renzi, A., Minieri, G., Coretti, G. et al. Severe dysphagia after antireflux surgery: a rare case of esophageal hiatal stenosis. Clin J Gastroenterol 14, 39–43 (2021).

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  • Dysphagia
  • Hiatal stenosis
  • Antireflux surgery
  • GERD
  • Nissen procedure