Laparoscopic reoperative antireflux surgery

Z. T. Awad, P. I. Anderson, K. Sato, T. A. Roth, J. Gerhardt, Charles Filipi

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Background: Antireflux operations for gastroesophageal reflux disease whether performed open or laparoscopically can fail and may require reoperation to control new, recurrent symptoms or operation-related complications. We report our experience with the laparoscopic reoperation for failed antireflux procedures. Methods: Between 1995 and 2000, 37 patients underwent laparoscopic reoperative antireflux procedures. The mean age and weight were 52 years and 181.5 pounds. The main presenting symptoms were heartburn (n = 18), respiratory reflux (n = 4), chest pain (n = 3), regurgitation (n = 1), and dysphagia (n = 10). The mean duration between the first operation and recurrence of symptoms was 18 months, and the duration between the two procedures was 25 months. The operation was completed laparoscopically in 32 patients (86.5%): Nissen fundoplication (n = 27) and Toupet fundoplication (n = 9). Results: Intraoperative and postoperative complications occurred in 6 and 14 patients, respectively. Fundoplication disruption was the most common cause of primary surgery failure. The mean hospital stay was 4 days. At a mean follow-up of 26.5 months, results were excellent to good (65%), fair (21.5%), and poor (13.5%). Conclusion: Laparoscopic reoperative antireflux procedures are technically feasible with acceptable preliminary results.

Original languageEnglish
Pages (from-to)1401-1407
Number of pages7
JournalSurgical Endoscopy
Volume15
Issue number12
StatePublished - 2001

All Science Journal Classification (ASJC) codes

  • Surgery

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    Awad, Z. T., Anderson, P. I., Sato, K., Roth, T. A., Gerhardt, J., & Filipi, C. (2001). Laparoscopic reoperative antireflux surgery. Surgical Endoscopy, 15(12), 1401-1407.