What question did this study set out to answer?

To report a rare case of severe gas bloat syndrome following Toupet fundoplication and its management.

April 23, 2026Open Access

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

HNHao The NguyenRocky Vista University BPBenjamin PfeifferRocky Vista University TOTudor OroianEvans Army Community Hospital

Puntos clave

To report a rare case of severe gas bloat syndrome following Toupet fundoplication and its management.
Case report of a 42-year-old man with gas bloat syndrome after Toupet fundoplication.
Prompt endoscopic decompression and pyloric botulinum toxin injection were performed.
Rapid clinical and endoscopic improvement was observed after treatment.
Gastric mucosa appeared necrotic before intervention but improved post-treatment.

Resumen

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.

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