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Causes of Failure of Antireflux Surgery

Department of Surgery, Uniuersity of Southern California, Los Angeles, CA

Jeffrey H. Peters, MD

Department of Surgery, Uniuersity of Southern California, Los Angeles, CA

The multiple advantages of the laparoscopic techniques were the main reason for the explosion of laparoscopic antireflux surgery. As a result, laparoscopic Nissen fundoplication has become one of the most commonly performed laparoscopic procedures. Achieving consistently successful results is difficult with any form of therapy, and laparoscopic fundoplication is no exception. The definition of failure of antireflux surgery is unclear and is usually based on the patient's symptoms. In this report, we analyze the different types of failure and discuss the diagnostic and therapeutic options that are available to manage this challenging clinical problem. Copyright © 2001 by W.B. Saunders Company.

Key Words: Antireflux surgery • Nissen fundoplication.

Surgical Innovation, Vol. 8, No. 4, 272-280 (2001)
DOI: 10.1177/155335060100800407


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