[Postoperative syndromes after surgery for termination of esophageal reflux (author's transl)]

Postoperative syndromes after surgery for termination of esophageal reflux may be due to false indication for surgery, technical faults, functional disturbance after other surgical procedures, non-related accompanying disease, or relapse of reflux esophagitis. Only an exact analysis of the factors causing the syndrome will allow in the individual case an appropriate therapy. Management should be medical in most cases; only such patients should be operated upon again, which do have symptoms of distinct severeness and long duration. In patients, which had an anatomical reconstruction done during the first surgical procedure, the therapy of choice is establishing a valvuloplasty. Has this been done as the first surgical procedure, the fundoplication must be untied, and a new surgical trial to terminate esophageal reflux has to be done.