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04:14
Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Conversion from failed antireflux surgery to RefluxStop: A multicenter feasibility, technical evaluation, safety, and
Thorsten G Lehmann1, Joerg Zehetner2
1Department of Visceral Surgery, Klinikum Friedrichshafen GmBH, Friedrichshafen, Germany. thorsten.lehmann@gmx.de.
Langenbeck'S Archives of Surgery
|June 11, 2026
Summary
RefluxStop conversion is a feasible and effective treatment for patients with failed antireflux surgery (ARS). This revision surgery significantly improves GERD symptoms and quality of life, with a notable decrease in proton pump inhibitor use.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Reflux Management
Background:
- Failed antireflux surgery (ARS) is a common issue, often requiring re-operation.
- Previous ARS techniques can complicate subsequent surgical options.
- Common complications include device explantation, dysphagia, migration, erosion, hernia recurrence, and persistent reflux.
Purpose of the Study:
- To evaluate the feasibility of converting to RefluxStop after previous failed ARS.
- To assess the safety and clinical outcomes of RefluxStop conversion.
- To determine the impact on symptomatology, quality of life, and medication use.
Main Methods:
- A retrospective study of 30 consecutive patients undergoing RefluxStop conversion after failed ARS.
- Data collected included previous ARS type, safety, reflux symptoms, GERD-Health-Related Quality-of-Life (GERD-HRQL) scores, and proton pump inhibitor (PPI) usage.
- Follow-up was conducted at a mean of 22.3 months.
Main Results:
- RefluxStop conversion was straightforward in all 30 patients, regardless of prior ARS type (e.g., magnetic sphincter augmentation, fundoplication).
- Significant improvement in median GERD-HRQL scores (87.2%) and reduction in reflux symptoms, regurgitation, dysphagia, and PPI use were observed.
- Two reoperations were required for hiatal hernia recurrence.
Conclusions:
- Conversion to RefluxStop is a feasible surgical option for patients with failed ARS.
- The procedure demonstrates good safety and efficacy, leading to substantial symptom improvement and enhanced quality of life.
- RefluxStop offers a viable alternative for managing complex reflux cases post-failed ARS.
Keywords:
Antireflux surgeryGastroesophageal reflux disease (GERD)Hiatal hernia recurrenceRefluxStopRevisional surgeryMore Related Videos
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