Failed Antireflux Surgery

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Abstract
SEVERAL STUDIES have now shown that antireflux operations done with minimally invasive techniques1 are effective in the treatment of gastroesophageal reflux disease, resulting in a better than 90% rate of patient satisfaction,2 short hospital stays, and rapid return to work or previous activities.3 Thus, the minimally invasive approach to antireflux surgery has emerged as one of the best alternatives for treatment of gastroesophageal reflux disease, especially in those patients who need lifelong therapy.4-6 As with other procedures, the operation has its pitfalls, occasional complications, and failures. Furthermore, even minor variations in surgical technique can alter its clinical outcome7,8 which is complicated by the fact that the procedure has a well-defined learning curve.9