Reoperative Antireflux Surgery

被引：31

作者：

Grover, Brandon T. ^{[1
]}

Kothari, Shanu N. ^{[1
]}

机构：

[1] Gundersen Hlth Syst, Dept Gen & Vasc Surg, La Crosse, WI 54601 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2015年 / 95卷 / 03期

关键词：

Gastroesophageal reflux disease; Nissen fundoplication; Revisional surgery; Roux-en-Y gastric bypass; Collis gastroplasty; Preoperative evaluation; Outcomes; GASTROESOPHAGEAL-REFLUX DISEASE; ROUX-EN-Y; LAPAROSCOPIC NISSEN FUNDOPLICATION; MORBIDLY OBESE-PATIENTS; GASTRIC BYPASS; SURGICAL REINTERVENTION; PREOPERATIVE PREDICTION; CONSECUTIVE PATIENTS; REDO FUNDOPLICATION; OBJECTIVE OUTCOMES;

D O I：

10.1016/j.suc.2015.02.014

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Patient satisfaction with primary antireflux surgery is high, but a small percentage of patients experience recurrent reflux and dysphagia, requiring reoperation. The major anatomic causes of failed fundoplication are slipped fundoplication, failure to identify a short esophagus, and problems with the wrap. Minimally invasive surgery has become more common for these procedures. Options for surgery include redo fundoplication with hiatal hernia repair if needed, conversion to Roux-en-Y anatomy, or, as a last resort, esophagectomy. Conversion to Roux-en-Y anatomy has a high rate of success, making this approach an important option in the properly selected patient. © 2015 Elsevier Inc.

引用

页码：629 / 640

页数：12

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