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Reoperative Surgery for Failed Antireflux Procedures

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A Mastery Approach to Complex Esophageal Diseases

Abstract

Approximately 5–10% of patients who have antireflux surgery will undergo reoperative surgery. Failure can be due to persistent or recurrence of original symptoms or development of new symptoms after the antireflux surgery. Risk factors include inadequate response to acid suppression medical therapy, atypical symptoms, and patients with normal preoperative pH study. The etiology for failure of an antireflux procedure ranges from misdiagnosis to functional problems and anatomic failure. Reoperative antireflux surgery is a complex procedure and is best performed at high-volume centers and by surgeons with significant experience to obtain an optimal outcome. Reoperative surgery can have success rates as high as 81%.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, WI, USA

    Kenan Ulualp M.D.

  2. Division of General Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Jon C. Gould M.D.

Authors
  1. Kenan Ulualp M.D.
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  2. Jon C. Gould M.D.
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Correspondence to Jon C. Gould M.D. .

Editor information

Editors and Affiliations

  1. Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Nebraska, USA

    Dmitry Oleynikov

  2. Harvard Medical School, West Roxbury, Massachusetts, USA

    P. Marco Fisichella

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Ulualp, K., Gould, J.C. (2018). Reoperative Surgery for Failed Antireflux Procedures. In: Oleynikov, D., Fisichella, P. (eds) A Mastery Approach to Complex Esophageal Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-75795-7_3

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  • DOI: https://doi.org/10.1007/978-3-319-75795-7_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75794-0

  • Online ISBN: 978-3-319-75795-7

  • eBook Packages: MedicineMedicine (R0)

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