Management of Failed Anti-reflux Surgery
摘要
Although anti-reflux surgery is a very successful treatment modality for patients with gastroesophageal reflux disease (GERD), some patients will eventually experience persistence or recurrence of GERD-related symptoms after the operation. This poor outcome is often related to failure in the surgeon’s judgement (i.e., appropriate patient selection), anatomical failures, and/or physiological failures. Identification of the cause of the failure is critical to provide effective therapy.