ArticleSurgical endoscopy2012
The role of short-limb Roux-en-Y reconstruction for failed antireflux surgery: a single-center 5-year experience.
Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- 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
- Roux-En-Y gastric bypass following failed fundoplication.Surgical endoscopy · 2018Trial
- Redo fundoplication and early Roux-en-Y diversion for failed fundoplication: a 3-year single-center experience.Surgical endoscopy · 2022Article
- Best reoperative strategy for failed fundoplication: redo fundoplication or conversion to Roux-en-Y gastric diversion?Surgical endoscopy · 2021Article
- Minimally invasive Roux-en-Y reconstruction as a salvage operation after failed nissen fundoplication.Surgical endoscopy · 2020Article
- Salvage Options for Fundoplication Failure.Current gastroenterology reports · 2019Review
- Strategies for surgical remediation of the multi-fundoplication failure patient.Surgical endoscopy · 2019Article
- Complications of Antireflux Surgery.The American journal of gastroenterology · 2018Review
- Primary and Redo Antireflux Surgery: Outcomes and Lessons Learned.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Article
- Roux-en-Y Gastric Bypass Following Nissen Fundoplication: Higher Risk Same Reward.Obesity surgery · 2017Article
- Association of Body Mass Index (BMI) with Patterns of Fundoplication Failure: Insights Gained.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
- Roux-en-Y gastric bypass for intractable biliary reflux in an individual with incomplete tetraplegia.The journal of spinal cord medicine · 2015Article
- Long-term outcomes of reintervention for failed fundoplication: redo fundoplication versus Roux-en-Y reconstruction.Surgical endoscopy · 2014Article
- Reoperative intervention in patients with mesh at the hiatus is associated with high incidence of esophageal resection--a single-center experience.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013Article
- Roux-en-Y reconstruction is superior to redo fundoplication in a subset of patients with failed antireflux surgery.Surgical endoscopy · 2013Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRevisionary fundoplication is the mainstay of treatment for failed previous fundoplication, but is not always feasible. We report our experience with use of short-limb Roux-en-Y (RNY) reconstruction for failed antireflux procedures.
methodsProspectively collected data were retrospectively analyzed for morbidity, mortality, pre- and postprocedure symptom scores (scale 0-3), body mass index (BMI), and patient satisfaction (scale 1-10).
resultsSeventy-two patients with 1-4 (median 1) previous antireflux procedures underwent RNY reconstruction, either to gastric pouch (n = 64) or to the esophagus (n = 8). There were 37 laparoscopic, 24 open abdominal, and two combined thoracic-abdominal procedures. Nine additional patients underwent conversion from laparoscopy to open surgery. Mean follow-up of 20.7 months (± 12.9 months) was available in 63 (88%) patients. The overall median scores for heartburn, regurgitation, dysphagia, chest pain, and nausea were 0 or 1. There were 72 major and minor complications noted that affected 33 (46%) patients, with no in-hospital or 30-day mortality observed. The most common complications were anastomotic strictures, bowel obstructions, respiratory complications, and dumping. Mean postoperative BMI was 24.6 (± 4.4) kg/m(2) compared with preoperative BMI of 31.4 (± 6.1) kg/m(2). Mean reported satisfaction score was 8.2 (± 2.1), and 89% of the patients would recommend the procedure to a friend. Pre- and postoperative symptoms could be compared in 57 patients, and significant decrease in median symptom scores for heartburn (2-0, P < 0.05), regurgitation (1-0, P < 0.05), and dysphagia (2-0, P < 0.05) was confirmed. There was an increase in reported nausea (0-1, P < 0.05).
conclusionsShort-limb RNY reconstruction is an effective remedial procedure for a subset of patients with failed antireflux surgery, but morbidity is significant.
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Registered trials
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