ArticleSurgical endoscopy2012
Perioperative outcomes of surgical procedures for symptomatic fundoplication failure: a retrospective case-control study.
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 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Cruroplasty as a standalone treatment for recurrent hiatal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Laparoscopic Fundoplication Using the Excluded Stomach as Novel Management Option for Refractory Bile Reflux Following One Anastomosis Gastric Bypass (OAGB).Obesity surgery · 2022Article
- Less is more: cruroplasty alone is sufficient for revisional hiatal hernia surgery.Surgical endoscopy · 2021Article
- Laparoscopic fundoplication for refractory GERD: a procedure worth repeating if needed.Surgical endoscopy · 2021Article
- Salvage Options for Fundoplication Failure.Current gastroenterology reports · 2019Review
- Roux-en-Y gastric bypass as a salvage procedure in complicated patients with failed fundoplication(s).Surgical endoscopy · 2019Article
- Medically refractory gastroesophageal reflux disease in the obese: what is the best surgical approach?Surgical endoscopy · 2014Article
- Robotic Fundoplication for Large Paraesophageal Hiatal Hernias.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnatomic failure with recurrent gastroesophageal reflux disease (GERD) or related symptoms following fundoplication is a well-described occurrence. Occasionally, reoperative surgery is required. The morbidity of revisional surgery can be quite high, and the clinical outcomes may not be as good as is observed following primary antireflux operations.
methodsData were obtained from a prospectively maintained foregut surgery database and via follow-up survey. Patients who underwent surgery for symptomatic failed fundoplication were included. A control group consisting of the same number of patients who underwent a first-time fundoplication for GERD was randomly selected from the same database. Anatomic failure of the original fundoplication was confirmed in all cases with upper endoscopy and an upper-GI series. Perioperative outcomes were compared between study groups. Visick scores were attained via phone follow-up along with satisfaction scores related to the outcome.
resultsFrom January 2003 to January 2010, 38 patients underwent revisional operations for failed fundoplication at our institution. The majority of patients (74%) had one previous failed attempt at fundoplication (range = 1-3). The most common mechanism of failure was hiatal hernia with recurrent GERD (79%). Reoperative patients were similar to their controls (age, sex, and body mass index). Reoperative surgery took longer, patients remained in the hospital longer, and these patients experienced more complications. Despite this fact, satisfaction with the outcomes of surgery was high in each group. The majority of patients in each study group reported Visick scores of grade 1 (no symptoms, resolved) or grade 2 (mild occasional symptoms, easily controlled) after surgery.
conclusionCompared to primary antireflux surgery, revisional operations are associated with longer mean operating times, increased length of hospital stay, and increased morbidity. Despite this fact, the majority of patients are satisfied with the outcomes of revisional surgery for failed fundoplication, and symptomatic outcomes are good.
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