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Updated: Apr 15, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
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Postoperative complications after Nissen fundoplication.

Sv Toshev, G Todorov, M Sokolov

    Khirurgiia
    |March 25, 2015
    PubMed
    Summary

    Laparoscopic anti-reflux surgeries offer advantages but have high complication rates. Surgeon inexperience and older patient demographics contribute to mortality from gastrointestinal issues, cardiac arrest, and pulmonary complications.

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    Area of Science:

    • Gastroenterology and minimally invasive surgery.

    Background:

    • Laparoscopic anti-reflux operations are increasingly replacing conventional surgery due to their benefits.
    • However, these procedures are associated with a significant rate of complications and mortality.

    Purpose of the Study:

    • To analyze the primary causes of complications and mortality in laparoscopic anti-reflux operations.
    • To identify factors contributing to adverse outcomes in these surgical procedures.

    Main Methods:

    • Review of recent reports and leading authors' findings on laparoscopic anti-reflux surgery outcomes.
    • Analysis of documented causes of death and complications.

    Main Results:

    • High complication rates are often linked to surgeon inexperience.
    • Older patient populations undergoing these surgeries are experiencing increased mortality.
    • Key causes of death include gastrointestinal hemorrhage, esophageal/gastric necrosis with perforation, cardiac arrest, respiratory/inflammatory complications, and pulmonary thromboembolism.

    Conclusions:

    • While laparoscopic anti-reflux surgery has advantages, careful consideration of surgeon experience and patient age is crucial.
    • Addressing these factors may help mitigate the risks of severe complications and mortality associated with these procedures.