Gastric mesh erosion after hiatoplasty for recurrent paraesophageal hernia

Abstract

A 57-year-old man was treated for recurrent paraesophageal hernia by means of laparoscopic hiatal reinforcement using a 12 × 10-cm titanium-covered polypropylene mesh. He began to experience nonspecific epigastric abdominal discomfort 10 months later. An upper endoscopy revealed the presence of mesh at the gastroesophageal junction ([Fig. 1]), which was then removed endoscopically, using grasping forceps ([Fig. 2]). Since the procedure, the patient has been free of symptoms, with no signs of reflux disease for 12 months at the time of writing.