SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2009
Surgical reintervention after failed antireflux surgery: a systematic review of the literature.
Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Safety of robotic-assisted surgery in redo fundoplication: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Management of symptomatic, asymptomatic, and recurrent hiatal hernia: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Efficacy and safety of laparoscopic Roux-en-Y gastric bypass in symptomatic patients following fundoplication failure: a meta-analysis.Esophagus : official journal of the Japan Esophageal Society · 2023Pooled it
- EAES recommendations for the management of gastroesophageal reflux disease.Surgical endoscopy · 2014Guideline
- Roux-En-Y gastric bypass following failed fundoplication.Surgical endoscopy · 2018Trial
- Early contrast esophagram after anti-reflux surgery: use, perceived value, and impact on discharge among foregut specialists.Surgical endoscopy · 2026Article
- Intraoperative FLIP to guide revisional hiatal hernia repair: early experience and outcomes.Surgical endoscopy · 2026Article
- Gas Bloat Syndrome after Nissen Fundoplication: Association with Anatomical Failure and Revisional Operation.Journal of the American College of Surgeons · 2026Article
- Conversion from failed antireflux surgery to RefluxStop: A multicenter feasibility, technical evaluation, safety, and effectiveness study with 30 consecutive cases.Langenbeck's archives of surgery · 2026Article
- Clinical and computed tomography outcome after primary and revisional fundoplication.Surgical endoscopy · 2026Observational
- Comparing Nissen, Toupet, Dor, His reconstruction, and W-H fundoplication: real-world 1-year outcomes of five laparoscopic antireflux procedures.Surgical endoscopy · 2026Article
- Anatomical Alterations and Endoscopic Strategies After Upper Gastrointestinal Surgery.The Korean journal of helicobacter and upper gastrointestinal research · 2025Review
- Validation of Padova Classification of Post-Fundoplication Outflow Obstruction on High-Resolution Manometry in an International Multi-Center Study.Neurogastroenterology and motility · 2025Article
- Analysis of outcomes of reoperative fundoplication in more than 500 patients after failed primary antireflux surgery: Experience over two decades.The Journal of thoracic and cardiovascular surgery · 2025Article
- Utility of pH monitoring in surgical decision-making and outcome prediction in revisional antireflux surgery for anatomical failure.Surgical endoscopy · 2025Article
- Role of radiofrequency STRETTA for recurrent GERD following primary anti-reflux surgery and primary STRETTA therapy.Surgical endoscopy · 2025Article
- Robotic hiatus hernia surgery: learning curve and lessons learned.Journal of robotic surgery · 2025Article
- Endoscopic assessment of failed fundoplications differs between endoscopists.Surgical endoscopy · 2024Article
- Does crural repair with biosynthetic mesh improve outcomes of revisional surgery for recurrent hiatal hernia?Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Current Status of Anti-Reflux Surgery as a Treatment for GERD.Medicina (Kaunas, Lithuania) · 2024Review
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutcome and morbidity of redo antireflux surgery are suggested to be less satisfactory than those of primary surgery. Studies reporting on redo surgery, however, are usually much smaller than those of primary surgery. The aim of this study was to summarize the currently available literature on redo antireflux surgery. MATERIAL AND
methodsA structured literature search was performed in the electronic databases of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials.
resultsA total of 81 studies met the inclusion criteria. The study design was prospective in 29, retrospective in 15, and not reported in 37 studies. In these studies, 4,584 reoperations in 4,509 patients are reported. Recurrent reflux and dysphagia were the most frequent indications; intraoperative complications occurred in 21.4% and postoperative complications in 15.6%, with an overall mortality rate of 0.9%. The conversion rate in laparoscopic surgery was 8.7%. Mean(+/-SEM) duration of surgery was 177.4 +/- 10.3 min and mean hospital stay was 5.5 +/- 0.5 days. Symptomatic outcome was successful in 81.1% and was equal in the laparoscopic and conventional approach. Objective outcome was obtained in 24 studies (29.6%) and success was reported in 78.3%, with a slightly higher success rate in case of laparoscopy than with open surgery (85.8% vs. 78.0%).
conclusionThis systematic review on redo antireflux surgery has confirmed that morbidity and mortality after redo surgery is higher than after primary surgery and symptomatic and objective outcome are less satisfactory. Data on objective results were scarce and consistency with regard to reporting outcome is necessary.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.