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Related Experiment Videos

Refundoplication for recurrent gastroesophageal reflux

M E Luostarinen1, J O Isolauri, M O Koskinen

  • 1Department of Clinical Medicine, University of Tampere, Finland.

World Journal of Surgery
|September 1, 1993
PubMed
Summary

Repeat fundoplication for recurrent reflux offers reasonable symptomatic relief and repair success. However, objective recurrence rates are significant, influenced by impaired esophageal function and prior surgeries.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Esophageal Motility Disorders

Background:

  • Reoperation for failed antireflux procedures presents surgical challenges.
  • Systematic follow-up with objective testing after reoperation is limited.

Purpose of the Study:

  • To evaluate outcomes of repeat fundoplication for recurrent reflux.
  • To assess esophageal function post-reoperation.

Main Methods:

  • Retrospective analysis of 15 patients undergoing repeat fundoplication (1970-1991).
  • Follow-up included endoscopy, esophageal 24-hour pH monitoring, manometry, and radionuclide transit studies.

Main Results:

  • 12 of 15 fundoplic wraps were intact post-reoperation.

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  • Symptomatic reflux diminished in all patients.
  • 40% experienced objective reflux recurrence, linked to wrap integrity and esophageal function.

    • Conclusions:

    • Repeat fundoplication can reliably repair fundic wraps and improve symptoms.
    • Outcomes are reasonable but inferior to primary operations due to impaired esophageal motility.