Laparoscopic fundoplication is a treatment option for gastroesophageal reflux disease refractory to medical treatment. When deciding whether or not to undergo surgery, patients with refractory gastroesophageal reflux disease and esophageal motility disorder need to fully understand the operative procedure, postoperative complications, and residual symptoms such as dysphagia, globus sensation, and recurrence of reflux. Herein, we report a case of a patient diagnosed with gastroesophageal reflux disease and aperistalsis who underwent Nissen (total, 360degrees) fundoplication after lack of response to medical treatment and subsequently underwent pneumatic dilatation due to unrelieved postoperative dysphagia and globus sensation.
Deglutition Disorders* ; Dilatation* ; Esophageal Motility Disorders ; Fundoplication ; Gastroesophageal Reflux ; Humans ; Postoperative Complications ; Recurrence ; Sensation ; Surgical Procedures, Operative

Libman-Sacks endocarditis (LSE) is a valvular heart disease that is associated with autoimmune diseases such as systemic lupus erythematosus and antiphospholipid syndrome (APS). Cases of LSE and APS associated with infection have been reported during the last several years. Herein, we present a patient who was suspected to have developed LSE and catastrophic APS during the treatment of her definite infective endocarditis, which was caused by Staphylococcus aureus, and the patient's condition was complicated with cerebral abscess, sensorineural hearing loss, endophthalmitis, renal infarction, splenic abscess, and septic arthritis.
Abscess ; Antiphospholipid Syndrome ; Arthritis, Infectious ; Autoimmune Diseases ; Brain Abscess ; Embolism ; Endocarditis ; Endophthalmitis ; Hearing Loss, Sensorineural ; Heart Valve Diseases ; Humans ; Lupus Erythematosus, Systemic ; Splenic Infarction ; Staphylococcus aureus