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 language | English |
|---|---|
| Pages (from-to) | 1401-1407 |
| Number of pages | 7 |
| Journal | Surgical Endoscopy |
| Volume | 15 |
| Issue number | 12 |
| State | Published - 2001 |
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All Science Journal Classification (ASJC) codes
- Surgery
Cite this
Laparoscopic reoperative antireflux surgery. / Awad, Z. T.; Anderson, P. I.; Sato, K.; Roth, T. A.; Gerhardt, J.; Filipi, Charles.
In: Surgical Endoscopy, Vol. 15, No. 12, 2001, p. 1401-1407.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic reoperative antireflux surgery
AU - Awad, Z. T.
AU - Anderson, P. I.
AU - Sato, K.
AU - Roth, T. A.
AU - Gerhardt, J.
AU - Filipi, Charles
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
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M3 - Article
VL - 15
SP - 1401
EP - 1407
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 0930-2794
IS - 12
ER -