Mortality of reoperations
The answer to this question varies from author to author. Hih, in 1971 reported 63 patients with recurrent hiatal hernia managed secondarily by posterior gastropexy; mortality was 3.3% . Elhs and Crozier recently documented a series of 29 patients undergoing reoperation utilizing fundophcation with 75% satisfactory result and no mortality . Polk has utilized jejunal interposition with excellent success and a four per cent mortality ; however, other authors have reported up to a 15% mortahty with the same approach [4, 5].
KeywordsPancreatitis Acidity Esophagitis Scleroderma Achalasia
Unable to display preview. Download preview PDF.
- 2.Ellis FH, Crozier R (1985) The Nissen fundoplication: a clinical and manometric assessment of results, in Esophageal Disorders: pathophysiology and management. DeMeester TR, Skinner DB (Ed) Raven Press, New YorkGoogle Scholar
- 5.Merendino KA, Dillard DH (1955) The concept of sphincter substitution by an intiirposed jejunal segment for anatomic and physiologic abnormalities at the esophagogastric junction. With special reference to reflux esophagitis and cardiospasm and esophageal varices. Ann Surg 142:486–509PubMedCrossRefGoogle Scholar
- 1.Maher JW, Hocking MP, Woodward ER (1984) Subdiaphragmative fundophcation: Long-term follow-up and analysis of complication Am J Surg 147:181–186Google Scholar