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.

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Management of Failed Anti-reflux Surgery

  • Sofia Bertona,
  • Marco G. Patti,
  • Fernando A. M. Herbella,
  • Francisco Schlottmann

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.