Long-term results after laparoscopic reoperation for failed antireflux procedures

• DOI: 10.1002/bjs.7590
• Publication Date: 2011-06-30T12:58:29Z
• Authors: B Dallemagne; M Arenas Sanchez; D Francart; S Perretta; J Weerts; S Markiewicz; C Jehaes
• Keywords: Hiatal Hernia

Surgery for failed antireflux procedures is technically more demanding than primary fundoplication. The success rate does not equal that of the procedures. This retrospective analysis aimed to assess long-term subjective and objective outcomes in patients who underwent laparoscopic surgery fundoplication failure.Objective were assessed by radiological endoscopic methods, symptom questionnaire quality-of-life index at a minimum follow-up 12 (mean 75·8) months.The study included 129 consecutive had redo after failed. most frequent patterns failure hiatal herniation (50 patients) slippage (45). Resolution symptoms led was achieved 27 37 11 16 operated recurrence dysphagia respectively. Objective demonstrated 39 with six 22 slippage. Seven an additional surgical procedure.Long-term assessment results repair revealed high increased length follow-up. Unexpected untreated oesophageal shortening may be responsible this rate.