Re-Operation for Failed Antireflux Operations

  • C. G. Bremner
  • R. Mason
Conference paper


In the best series published, antireflux surgery will give an excellent to good result in about 90% of cases [1], and these results are sustained for up to 10 years. There are series reported, however, where the results have not been long-lasting, and reflux returns. Recurrent reflux is not the only cause of unsatisfactory results. Side effects of the operations such as dysphagia, bloating, diarrhea and persistent pain are also described [2].


Lower Esophageal Sphincter Antireflux Operation Lower Esophageal Sphincter Pressure Paraesophageal Hernia Bile Reflux 


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  1. 1.
    DeMeester TR, Bonavina L, Albertucci M (1986) Nissen fundoplication for gastroesophageal reflux disease: Evaluation of primary repair in 100 consecutive patients. Ann Surg 204: 2–9CrossRefGoogle Scholar
  2. 2.
    Leonardi HK, Ellis FH Jr (1983) Complications of the Nissen fundoplication. Surg Clin North Amer 63: 1155–65Google Scholar
  3. 3.
    Bremner CG (1978) Pyloric competence and gastric emptying after the Nissen fundoplication operation. S Afr J Surg 16: 202 (A)Google Scholar
  4. 4.
    Ellis FJ Jr., Crozier R (1984) Reflux control by fundoplication: A clinical and manometric assessment of the Nissen operation. Ann Thorac Surg 38: 387–92PubMedCrossRefGoogle Scholar
  5. 5.
    Smart HL, Mayberry JF, Atkinson M (1986) Achalasia following gastro-oesophageal reflux. J R Soc Med 79: 71–3PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • C. G. Bremner
  • R. Mason
    • 1
  1. 1.Department of SurgeryUniversity of the Witwatersrand Medical SchoolJohannesburgSouth Africa

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