Abstract

SALAZAR,, Andrés Felipe; CUEVAS-LOPEZ,, Liliana  and  METKE., Ricardo. Mesh migration into the gastroesophageal junction: a rare complication of giant hiatal hernia repair. Rev. colomb. Gastroenterol. [online]. 2021, vol.36, n.3, pp.399-402.  Epub Feb 01, 2022. ISSN 0120-9957.  https://doi.org/10.22516/25007440.683.

Hiatal hernia repair has been a subject of debate due to the possible associated complications that have changed over the years. The literature reports up to 30% of cases with complications associated with the procedure. Complications other than recurrence and long-term complications are rare and reported in less than 9% of cases. The migration of the prosthetic mesh into the esophagus is a rare complication and only a few cases have been reported. The factors associated with this outcome include prosthetic material, surgical technique, and mesh tension on the intervened tissue. However, it is difficult to establish direct associations of each factor since the current literature has only case reports.

The following is a clinical case of a patient in whom the prosthetic material migrated into the esophagus after a hiatal hernia repair with mesh. The diagnosis and treatment offered are discussed.

Keywords : Giant hiatal hernia; Hiatal hernia repair; Prosthetic mesh; Esophageal migration.

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