PMC3015802_01
The posterior vagus nerve encased by the Enteryx.
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F1
It was impossible to dissect the polymer mass off the esophagus without risk of perforation (Figures 1 and 2).
The Enteryx polymer mass adherent to the esophagus.
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PMC3015802_01_jsls-11-1-97-g02.jpg
F2
It was impossible to dissect the polymer mass off the esophagus without risk of perforation (Figures 1 and 2).
The picture shows how difficult trying to do complete wrap.
jsls-11-1-97-g03.jpg
PMC3015802_01_jsls-11-1-97-g03.jpg
F3
To avoid the risk of postoperative dysphagia because the Enteryx mass was left in place, the decision was made to perform a partial posterior fundoplication, including approximation of the crus and fixation of the wrap on these (Figures 3 and 4).
Completed Toupet fundoplication with wrap sutured to the esophagus above the polymer.
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F4
To avoid the risk of postoperative dysphagia because the Enteryx mass was left in place, the decision was made to perform a partial posterior fundoplication, including approximation of the crus and fixation of the wrap on these (Figures 3 and 4).
PMC3015802_02
PMC3015802_03