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Adverse Outcomes and Failure Following Laparoscopic Antireflux Surgery

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Gastroesophageal Reflux Disease

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Conclusions

Despite the fact that the majority of patients who undergo laparoscopic antireflux surgery have a good or excellent clinical outcome, a small proportion of patients develop a significant complication, side effect or recurrent reflux during postoperative followup. The management of these patients is complex. If problems occur in the immediate post-operative period, then early laparoscopic re-exploration should be considered, as many problems are easily be corrected within a week of the original procedure.

Patients who develop problems during later followup should be fully reinvestigated, and non-operative treatment options are initially recommended, as many of the early side effects resolve with conservative management. Endoscopy and dilatation can be helpful at this stage. If problems persist beyond 12 months, then reoperation can be considered in patients with persistent dysphagia, symptomatic recurrent hiatus hernia, or recurrent reflux which is poorly controlled with medication. However, further surgery is unlikely to be help patients with persistent “wind-related” side effects.

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Author information

Authors and Affiliations

  1. Department of Surgery, Flinders University, South Australia, Australia

    D. I. Watson (Prof. of Surgery and Head of Department, Head of Gastrointestinal Services and Senior Consultant Surgeon)

  2. Flinders Medical Centre, South Australia, Australia

    D. I. Watson (Prof. of Surgery and Head of Department, Head of Gastrointestinal Services and Senior Consultant Surgeon)

  3. Hepatobiliary and Oesophagogastric Surgical Unit, Flinders Medical Centre, South Australia, Australia

    D. I. Watson (Prof. of Surgery and Head of Department, Head of Gastrointestinal Services and Senior Consultant Surgeon)

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  1. D. I. Watson
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Editors and Affiliations

  1. Allgemein öffentliches Krankenhaus, Zell am See, Austria

    Frank A. Granderath , Thomas Kamolz  & Rudolph Pointner ,  & 

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© 2006 Springer-Verlag/Wien

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Watson, D.I. (2006). Adverse Outcomes and Failure Following Laparoscopic Antireflux Surgery. In: Granderath, F.A., Kamolz, T., Pointner, R. (eds) Gastroesophageal Reflux Disease. Springer, Vienna. https://doi.org/10.1007/3-211-32317-1_19

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  • DOI: https://doi.org/10.1007/3-211-32317-1_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-23589-8

  • Online ISBN: 978-3-211-32317-5

  • eBook Packages: MedicineMedicine (R0)

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