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A Mastery Approach to Complex Esophageal DiseasesReoperative Surgery for Failed Antireflux Procedures

A Mastery Approach to Complex Esophageal Diseases: Reoperative Surgery for Failed Antireflux... [Approximately 5–10% of patients who have antireflux surgery will undergo reoperative surgery. Failure can be due to persistent or recurrence of original symptoms or development of new symptoms after the antireflux surgery. Risk factors include inadequate response to acid suppression medical therapy, atypical symptoms, and patients with normal preoperative pH study. The etiology for failure of an antireflux procedure ranges from misdiagnosis to functional problems and anatomic failure. Reoperative antireflux surgery is a complex procedure and is best performed at high-volume centers and by surgeons with significant experience to obtain an optimal outcome. Reoperative surgery can have success rates as high as 81%.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Mastery Approach to Complex Esophageal DiseasesReoperative Surgery for Failed Antireflux Procedures

Editors: Oleynikov, Dmitry; Fisichella, P. Marco
Ulualp, Kenan; Gould, Jon C.
Springer Journals — Apr 21, 2018
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12 pages

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Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2018
ISBN
978-3-319-75794-0
Pages
35 –47
DOI
10.1007/978-3-319-75795-7_3
Publisher site
See Chapter on Publisher Site

Abstract

[Approximately 5–10% of patients who have antireflux surgery will undergo reoperative surgery. Failure can be due to persistent or recurrence of original symptoms or development of new symptoms after the antireflux surgery. Risk factors include inadequate response to acid suppression medical therapy, atypical symptoms, and patients with normal preoperative pH study. The etiology for failure of an antireflux procedure ranges from misdiagnosis to functional problems and anatomic failure. Reoperative antireflux surgery is a complex procedure and is best performed at high-volume centers and by surgeons with significant experience to obtain an optimal outcome. Reoperative surgery can have success rates as high as 81%.]

Published: Apr 21, 2018

Keywords: Antireflux surgery; Gastroesophageal reflux disease; Revisional surgery; Roux-en-Y gastric bypass; Nissen fundoplication

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