Severe Gas Bloat Syndrome and Gastric Ischemia: A Rare Complication of Toupet Fundoplication.

ACG case reports journal 2026 Vol.13(4) p. e02099

Nguyen HT, Pfeiffer B, Oroian T

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Abstract

Gas bloat syndrome (GBS) is a recognized complication of fundoplication, most commonly associated with the Nissen technique and rarely reported after Toupet fundoplication. We present a 42-year-old man who developed acute GBS with necrotic appearing gastric mucosa following Toupet fundoplication. Prompt endoscopic decompression and pyloric botulinum toxin injection led to rapid clinical and endoscopic improvement without surgical intervention. This case highlights that, although Toupet fundoplication reduces the risk of GBS, severe manifestations can still occur and require early recognition and timely management.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
기법 endoscopic 내시경 dict 2
시술 botulinum toxin 보툴리눔독소 주사 dict 1
해부 Gastric scispacy 1
합병증 GBS → Gas bloat syndrome scispacy 1
합병증 necrotic appearing scispacy 1
약물 pyloric botulinum toxin scispacy 1
질환 Syndrome and Gastric Ischemia scispacy 1
질환 bloat syndrome scispacy 1
질환 GBS → Gas bloat syndrome C2930966
Gas bloat syndrome
scispacy 1
질환 necrotic C0027540
Necrosis
scispacy 1
기타 man scispacy 1
기타 gastric mucosa scispacy 1

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