2021
DOI: 10.1007/s00464-021-08610-y
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Redo fundoplication and early Roux-en-Y diversion for failed fundoplication: a 3-year single-center experience

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Cited by 7 publications
(4 citation statements)
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“…After surgical failure, that can occur up to 30% of patients underwent fundoplication, all redo fundoplication techniques showed good long-term outcomes [ 29 ]. Nevertheless, it appears less suitable than primary anti-reflux surgery, while RYGB demonstrated to be a safety alternative to redo fundoplication [ 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…After surgical failure, that can occur up to 30% of patients underwent fundoplication, all redo fundoplication techniques showed good long-term outcomes [ 29 ]. Nevertheless, it appears less suitable than primary anti-reflux surgery, while RYGB demonstrated to be a safety alternative to redo fundoplication [ 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of DGE and/or oesophageal dysmotility are likely to increase with each additional episode of surgery due to fibrosis, obstructed anatomy, and damage to vagal nerves. Motility disorders are well recognized risk factors for higher morbidity and inferior symptomatic outcomes after revision surgery and are considered relative contraindications for repeated fundoplication 2,18,19 …”
Section: Discussionmentioning
confidence: 99%
“…Motility disorders are well recognized risk factors for higher morbidity and inferior symptomatic outcomes after revision surgery and are considered relative contraindications for repeated fundoplication. 2,18,19 Patients with a concurrent diagnosis of DGE after failed fundoplication represent a very select cohort and evidence regarding management is scarce. Williams et al compared SGRNY to revision fundoplication as remedial antireflux procedures for patients with a failed fundoplication and found significantly higher primary symptom resolution after SGRNY than revision fundoplication.…”
Section: Discussionmentioning
confidence: 99%
“…16 More recent limited prospective studies demonstrate increased morbidity associated with serial repeat fundoplication surgeries for recalcitrant acid reflux, which can be mitigated by consideration for reconstructive Roux-en-Y diversion with durable clinical outcomes over revisional fundoplication. 17,18 The ability to control modifiable lifestyle factors, such as obesity and medical comorbidities, in conjunction with maximized acid suppression medication may be advantageous over assuming the above risks inherent in reoperative surgery.…”
Section: Considerations For Reoperative Antireflux Surgerymentioning
confidence: 99%