ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2018
Primary and Redo Antireflux Surgery: Outcomes and Lessons Learned.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic-assisted approaches to GERD following sleeve gastrectomy.Surgical endoscopy · 2021Pooled it
- Complex and Recurrent Hiatal Hernia Repair Using a Pedicled Rectus Abdominis Flap: Surgical Technique and Case Series.Plastic and reconstructive surgery. Global open · 2026Article
- 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
- Missed Gastroesophageal Injuries During Antireflux Surgery: Infrequent but Catastrophic Complications.Journal of clinical medicine · 2025Article
- Robotic hiatus hernia surgery: learning curve and lessons learned.Journal of robotic surgery · 2025Article
- Modern insights into the pathophysiology and treatment of pseudoachalasia.Langenbeck's archives of surgery · 2024Review
- Transoral incisionless fundoplication for recurrent symptoms after laparoscopic fundoplication.Surgical endoscopy · 2023Article
- Laparoscopic Surgery for Recurrent Hiatal Hernia: Clinical Outcomes and Quality of Life.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) for gastroesophageal reflux disease: a systematic review and meta-analysis.Endoscopy international open · 2021Review
- Laparoscopic fundoplication for refractory GERD: a procedure worth repeating if needed.Surgical endoscopy · 2021Article
- Third-time ("redo-redo") anti-reflux surgery: patient-reported outcomes after a thoracoabdominal approach.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
- Roux-en-Y gastric bypass as a salvage procedure in complicated patients with failed fundoplication(s).Surgical endoscopy · 2019Article
- Robotic Reoperative Anti-reflux Surgery: Low Perioperative Morbidity and High Symptom Resolution.World journal of surgery · 2018Article
- Complications of Antireflux Surgery.The American journal of gastroenterology · 2018Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSome patients require one or more reoperative interventions after undergoing primary antireflux surgery (ARS). We compared outcomes after primary and reoperative ARS.
methodsWe queried a prospectively maintained database to identify patients who underwent ARS from September 23, 2003 to May 28, 2016. Patients were categorized into four groups: A (primary ARS), B (first reoperative ARS), C (second reoperative ARS), or D (≥ third reoperative ARS). Patients completed follow-up foregut symptom surveys and satisfaction questionnaires at regular intervals.
resultsIn total, 940 patients were studied (A: n = 545, B: n = 302, C: n = 80, D: n = 13). Age, sex, and BMI were comparable across groups. Heartburn was the most common preoperative symptom in A, whereas dysphagia was more common in B-D. Open approach, mean operative time, and mean blood loss increased from A to D (P < 0.05), as did need for Roux-en-Y reconstruction. Vagal injury (2-19-33-54%; P < 0.05), visceral perforation (2-20-36-23%; P < 0.05), postoperative leak (0.2-2-6-8%; P < 0.05 A vs. all), and morbidity (2-10-14-39%; P < 0.05) also increased from A to D. At mean follow-up of 36 months, the proportion of patients who reported no significant symptoms, excellent satisfaction, and likeliness to recommend this surgery to a friend progressively declined with each successive reintervention (P < 0.05).
conclusionsComplications and patient-reported outcomes worsen with each reoperative ARS.
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Registered trials
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