{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:51:13Z","timestamp":1756385473959},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T00:00:00Z","timestamp":1428883200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute pancreatitis subsequent to <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>issen fundoplication for gastroesophageal reflux disease (<jats:styled-content style=\"fixed-case\">GERD<\/jats:styled-content>) is an extremely rare adverse event. We describe a pediatric case of acute pancreatitis resulting from superior mesenteric artery syndrome (<jats:styled-content style=\"fixed-case\">SMAS<\/jats:styled-content>) and gas bloat after fundoplication. Gas bloat is one of the known postoperative complications after <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>issen fundoplication. Poor nutrition status, which is often associated with severe pediatric <jats:styled-content style=\"fixed-case\">GERD<\/jats:styled-content>, is a risk factor for <jats:styled-content style=\"fixed-case\">SMAS<\/jats:styled-content>. In this case, development of gas bloat and <jats:styled-content style=\"fixed-case\">SMAS<\/jats:styled-content> led to the formation of a closed loop and increased intraluminal pressure of the duodenum and pancreatic duct. Many pediatric patients who need anti\u2010reflux surgery face the risk of developing this entity. Preventive measures, such as treatment with prokinetics and frequent small\u2010volume meals, should be considered until improvement of nutritional status after fundoplication.<\/jats:p>","DOI":"10.1111\/ped.12610","type":"journal-article","created":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T22:58:05Z","timestamp":1428965885000},"source":"Crossref","is-referenced-by-count":4,"title":["Development of acute pancreatitis after <scp>N<\/scp>issen fundoplication"],"prefix":"10.1111","volume":"57","author":[{"given":"Mikihiro","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Otake","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Okigami","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Maji","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Ise Red Cross Hospital  Ise Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Kusunoki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,13]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"217","article-title":"Quality of life scales for gastroesophageal reflux disease","volume":"183","author":"Velanovich V","year":"1996","journal-title":"J. Am. Coll. Surg."},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"426162","DOI":"10.1155\/2009\/426162","article-title":"Gastric perforation and pancreatitis manifesting after an inadvertent Nissen fundoplication in a patient with superior mesenteric artery syndrome","volume":"2009","author":"Petrosyan M","year":"2009","journal-title":"Case Rep. 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