Reoperations for esophagitis following failed antireflux procedures

Area of Science:

• Gastroenterology
• Surgical Procedures
• Reflux Esophagitis Management

Background:

• Gastroesophageal reflux (GER) is effectively managed by various procedures.
• Limited literature exists on surgical management for recurrent esophagitis post-failed anti-reflux surgery.

Purpose of the Study:

• To review outcomes of surgical reoperations for recurrent esophagitis.

Main Methods:

• Retrospective review of 55 patients undergoing 61 reoperations for reflux.
• Procedures included Hill, Nissen, Allison, Thal-patch, Belsey, transabdominal fundoplication, transthoracic fundoplication, and Thal-Nissen.
• Analysis of success rates, mortality, and follow-up duration.

Main Results:

• Overall, 80% of reoperations yielded satisfactory results with a 4% mortality rate.
• Transthoracic fundoplication had 86% satisfactory results (7% mortality).
• Thal-Nissen procedures showed 83% satisfactory results with no deaths.

Conclusions:

• Reoperations for GERD are effective in controlling recurrent esophagitis.
• Outcomes of reoperations compare favorably with primary anti-reflux procedures in terms of success and mortality.