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Repeat antireflux surgery: effectiveness of a toupet partial posterior fundoplication
1Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Objective:
To report the feasibility and efficacy of posterior partial fundoplication for patients with recurrent reflux after previous antireflux operations.
Design:
Prospective non-randomised single hospital study.
Setting:
University hospital, Sweden.
Patients:
32 consecutive patients who required reoperation after failure of previous operations for gastro-oesophageal reflux disease.
Main Outcome Measures:
Control of symptoms, oesophageal acid reflux.
Results:
Most patients were referred for reoperation because of recurrent reflux, but six patients had a symptomatic intrahoracic herniation of the wrap with a life-threatening perforation in one patient. Three patients had recurrent reflux within 6 months of the operation and another two were classified as failures. The remaining 27 (84%) were classified as having a successful outcome during a mean follow-up period of 20 months.
Conclusion:
A posterior partial fundoplication can be done safely in a repeat operation for patients whose antireflux operation has failed.