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Redo Antireflux Surgery

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Benign Esophageal Disease

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Abstract

Laparoscopic antireflux surgery (ARS) has become the gold standard for medically refractory gastroesophageal reflux disease (GERD]. Though primary ARS has excellent safety and outcomes, up to 10% of patients undergoing laparoscopic fundoplication will eventually require reoperative antireflux surgery (redo-ARS). Laparoscopic redo-ARS is notoriously difficult with higher complication rates and worse outcomes when compared to the primary operation, and requires a thorough understanding of the surgical options and a high level of surgical skills. It is crucial for the surgeon and the patient to come to an agreement on postoperative expectations prior to embarking with revisional surgery, with a clear understanding that outcomes are generally worse after redo-ARS. Despite the technical challenges redo-ARS presents, when performed at a high-volume center, more than 80% of patients report satisfaction with their revision.

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Author information

Authors and Affiliations

  1. Providence Portland Medical Center, The Oregon Clinic GMIS, Portland, OR, USA

    Brett Parker

  2. Division of Minimally Invasive Surgery, The Oregon Clinic, Portland, OR, USA

    Kevin Reavis

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  1. Brett Parker
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  2. Kevin Reavis
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Editor information

Editors and Affiliations

  1. Jackson North Medical Center, University at Buffalo, Miami, FL, USA

    Natan Zundel

  2. Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

    W. Scott Melvin

  3. Department of Surgery and Medicine, University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

  4. Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

    Diego Camacho

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Parker, B., Reavis, K. (2021). Redo Antireflux Surgery. In: Zundel, N., Melvin, W.S., Patti, M.G., Camacho, D. (eds) Benign Esophageal Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-51489-1_8

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  • DOI: https://doi.org/10.1007/978-3-030-51489-1_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-51488-4

  • Online ISBN: 978-3-030-51489-1

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