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Recurrent GERD After a Fundoplication: Failure or Wrong Procedure

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Hiatal Hernia Surgery
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Abstract

Anti-reflux surgery in form of fundoplication is the gold standard for definitive treatment of gastro-esophageal reflux disease (GERD). Fundoplication is created by wrapping the gastric fundus around the distal 2–3 cm of esophagus, which lies tension free below the hiatus. With advent of minimally invasive techniques, there was greater patient and referring physician acceptability leading to an explosive increase in laparoscopic fundoplications being performed. Fundoplication is a procedure performed to improve quality of life and requires in-depth patient assessment and precise technical expertise to achieve optimal results. Excellent long-term satisfaction has been reported by several centers of expertise with greater than 95% patients reporting excellent satisfaction up to 10–20 years [1, 2].

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References

  1. Zaninotto G, Portale G, Costantini M, Rizzetto C, Guirroli E, Ceolin M, et al. Long-term results (6–10 years) of laparoscopic fundoplication. J Gastrointest Surg. 2007;11(9):1138–45.

    Article  PubMed  Google Scholar 

  2. Robinson B, Dunst CM, Cassera MA, Reavis KM, Sharata A, Swanstrom LL. 20 years later: laparoscopic fundoplication durability. Surg Endosc. 2015;29(9):2520–4.

    Article  PubMed  Google Scholar 

  3. Juhasz A, Sundaram A, Hoshino M, Lee TH, Filipi CJ, Mittal SK. Endoscopic assessment of failed fundoplication: a case for standardization. Surg Endosc. 2011;25(12):3761–6.

    Article  PubMed  Google Scholar 

  4. Masato H, Srinivasan A, Mittal SK. High resolution manometry patterns of lower esophageal sphincter complex in symptomatic post-fundoplication patients. J Gastrointest Surg. 2012;16(4):705–14.

    Article  Google Scholar 

  5. D’Alessio MJ, Arnaoutakis D, Giarelli N, Villadolid DVm Rosemurgy AS. Obesity is not a contra-indication to laparoscopic Nissen fundoplication. J Gastrointest Surg. 2005;9:949–54.

    Article  PubMed  Google Scholar 

  6. Jobe BA, Kahrilas PJ, Vernon AH, Sandone C, Gopal DV, Swanstrom LL, et al. Endoscopic appraisal of the gastroesophageal valve after antireflux surgery. Am J Gastroenterol. 2004 Feb;99(2):233–43.

    Article  PubMed  Google Scholar 

  7. Horgan S, Pohl D, Bogetti D, Eubanks T, Peligrini C. Failed anti-reflux surgery: what have be we learned from reoperations? Arch Surg. 1999;134(8):809–15.

    Article  CAS  PubMed  Google Scholar 

  8. Mittal SK, Juhasz A, Ramanan B, Hoshino M, Lee TH, Filipi CJ. A proposed classification for uniform endoscopic description of surgical fundoplication. Surg Endosc. 2014;28(4):1103–9.

    Article  PubMed  Google Scholar 

  9. Campos G, Peters JH, TR DM, Öberg S, Crookes PF, Tan S, et al. Multivariate analysis of factors predicting outcome after laparoscopic Nissen fundoplication. J Gastrointest Surg. 1999;3(3):292–300.

    Article  PubMed  Google Scholar 

  10. Iqbal A, Kakarlapudi GV, Awad ZT, Haynatzki G, Turaga KK, Karu A, et al. Assessment of diaphragmatic stressors as risk factors for symptomatic failure of laparoscopic Nissen fundoplication. J Gastrointest Surg. 2006;10(1):12–21.

    Article  PubMed  Google Scholar 

  11. Nandipati K, Bye M, Yamamoto SR, Pallati P, Lee T, Mittal SK. Reoperative intervention in patients with mesh at the hiatus is associated with high incidence of esophageal resection—a single-center experience. J Gastrointest Surg. 2013;17(12):2039–44.

    Article  PubMed  Google Scholar 

  12. Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ, Brunt LM, Hunter JG, et al. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009;23(6):1219–26.

    Article  PubMed  Google Scholar 

  13. Frantzides CT, Carlson MA, Loizides S, Papafili A, Luu M, Roberts J, et al. Hiatal hernia repair with mesh: a survey of SAGES members. Surg Endosc. 2010;24(5):1017–24.

    Article  PubMed  Google Scholar 

  14. Perez AR, Moincure AC, Rattner DW. Obesity adversely affects the outcome of anti-reflux operations. Surg Endosc. 2001;15:986–9.

    Article  CAS  PubMed  Google Scholar 

  15. Akimoto A, Nandipati KC, Kapoor H, Yamamoto SR, Pallati PK, Mittal SK. Association of Body Mass Index (BMI) with patterns of fundoplication failure: insights gained. J Gastrointest Surg. 2015;19(11):1943–8.

    Article  PubMed  Google Scholar 

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Mittal, S. (2018). Recurrent GERD After a Fundoplication: Failure or Wrong Procedure. In: Memon, M. (eds) Hiatal Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64003-7_14

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  • DOI: https://doi.org/10.1007/978-3-319-64003-7_14

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