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Previous Failed Antireflux Surgery

Antireflux surgery is the procedure to restore the function of the lower esophageal sphincter (the valve between the esophagus and the stomach) and to prevent the reflux of acid and bile (non-acidic juice) from the stomach into the esophagus. The most common procedure to restore the function of the lower esophageal sphincter is a minimally invasive procedure called laparoscopic Nissen fundoplication.

Following an antireflux surgery, if patients present with recurrent symptoms (the same symptoms that were present prior to surgery), or if they present with new reflux-related symptoms, failure of the procedure should be considered.

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By Farzaneh Banki, M.D.

References

1. Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Tan S, DeMeester SR, Hagen JA, Bremner CG. Multivariate analysis of factors predicting outcome after laparoscopic Nissen fundoplication. J Gastrointest Surg 1999;3:292-300.
2. John G. Hunter, C. Daniel Smith, Gene D. Branum, J. Patrick Waring, Thadeus L. Trus, Michael Cornwell, and Kathy Galloway. Laparoscopic Fundoplication Failures Patterns of Failure and Response to Fundoplication Revision. Annals of Surgery, 1999, Vol. 230, No. 4, 595–606.
3. Farzaneh Banki, Tom R DeMeester. Treatment of complications of gastroesophageal reflux disease and failed gastroesophageal surgery. Oesophagogastric Surgery, A Companion to Specialist Surgical Practice: Michael Griffin, Fourth Edition, 2009, page 281-292
4. Farzaneh Banki, Tom DeMeester. Paraesophageal Hiatal Hernia. Current surgical Therapy, John L Cameron, 10th edition, 2010, page 33-38.