{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:03Z","timestamp":1753877163803,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Nissen fundoplication is a safe and effective procedure for gastroesophageal reflux. Gastric ulceration leading to perforation is an uncommon late complication with a mechanism of action that is poorly understood.<\/jats:p>\n               <jats:p>A 40-year-old male presented 3 years following his fundoplication with a perforated ulcer in the upper body of the stomach. The patient admitted ibuprofen use leading up to the perforation. The perforation was successfully repaired via laparoscopy, with good postoperative outcome.<\/jats:p>\n               <jats:p>Gastric ulcer perforation post-fundoplication is a rare late outcome. Gastric perforation may have been precipitated by the use of non-steroidal anti-inflammatory drugs (NSAIDs) in concert with the vascular mechanical changes caused by this procedure. A review of the literature reveals only a handful of accounts of gastric ulcers or perforations as a late outcome. Of note, many of these perforations occur in the upper stomach and in tandem with NSAID use.<\/jats:p>","DOI":"10.1093\/jscr\/rjz195","type":"journal-article","created":{"date-parts":[[2019,6,29]],"date-time":"2019-06-29T19:08:39Z","timestamp":1561835319000},"source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic management of a late gastric perforation post-fundoplication"],"prefix":"10.1093","volume":"2020","author":[{"given":"Robert","family":"Keilig","sequence":"first","affiliation":[{"name":"University of New England College of Osteopathic Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raza M","family":"Shariff","sequence":"first","affiliation":[{"name":"Metabolic and Bariatric Surgery, Lakes Region General Hospital, Clinical Assistant Professor of Surgery, University of New England College of Osteopathic Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,18]]},"reference":[{"key":"2020051808181197900_rjz195C1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1111\/ans.13358","article-title":"Long-term outcomes following laparoscopic anterior and Nissen fundoplication","volume":"87","author":"Robertson","year":"2017","journal-title":"ANZ J Surg"},{"key":"2020051808181197900_rjz195C2","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1007\/s00464-007-9367-9","article-title":"Late gastric perforations after laparoscopic fundoplication","volume":"21","author":"Huguet","year":"2007","journal-title":"Surg Endosc"},{"key":"2020051808181197900_rjz195C3","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.cgh.2012.12.006","article-title":"Gastroesophageal reflux disease treatment: side effects and complications of fundoplication","volume":"11","author":"Richter","year":"2013","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2020051808181197900_rjz195C4","first-page":"20","article-title":"Postoperative complications after Nissen fundoplication","volume":"3","author":"Toshev","year":"2014","journal-title":"Khirurgiia (Sofiia)"},{"key":"2020051808181197900_rjz195C5","first-page":"39","article-title":"Postoperative gastrointestinal complaints after laparoscopic Nissen fundoplication","volume":"10","author":"Frantzides","year":"2006","journal-title":"JSLS"},{"key":"2020051808181197900_rjz195C6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00000658-199601000-00007","article-title":"Mechanisms of gastric and esophageal perforations during laparoscopic Nissen fundoplication","volume":"223","author":"Schauer","year":"1996","journal-title":"Ann Surg"},{"key":"2020051808181197900_rjz195C7","first-page":"132","article-title":"Conservative management of late gastric perforation following laparoscopic fundoplication","volume":"2","author":"Braungart","year":"2013","journal-title":"OA Case Rep"},{"key":"2020051808181197900_rjz195C8","first-page":"135","article-title":"Gastric ulceration after fundoplication: A complication to keep in mind. Fundoplikasyon sonras\u0131 gastrik u\u0308lser: Ak\u0131lda tutulmas\u0131 gereken bir komplikasyon","volume":"12","author":"Toros","year":"2013","journal-title":"Akad Gastroenterol Derg"},{"key":"2020051808181197900_rjz195C9","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/00019509-199806000-00012","article-title":"Postoperative ulcer and hemorrhage: an uncommon complication of laparoscopic Nissen fundoplication","volume":"8","author":"Cueto-Garc\u00eda","year":"1998","journal-title":"Surg Laparosc Endosc"},{"key":"2020051808181197900_rjz195C10","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/j.1572-0241.2000.01719.x","article-title":"Acute upper gastrointestinal hemorrhage from an ulcer on a Nissen fundoplication","volume":"95","author":"Pianka","year":"2000","journal-title":"Am J Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/5\/rjz195\/33226189\/rjz195.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/5\/rjz195\/33226189\/rjz195.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T12:18:27Z","timestamp":1589804307000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz195\/5531188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,1]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz195","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,5]]},"published":{"date-parts":[[2020,5,1]]},"article-number":"rjz195"}}