TY - JOUR
T1 - The Management of Patients Who Have "Failed" Antireflux Surgery
AU - Spechler, Stuart Jon
PY - 2004/3/1
Y1 - 2004/3/1
N2 - Gastroenterologists may be called upon to manage patients who have had antireflux surgery that failed. The available literature on this topic comprises predominantly reports on retrospective, observational studies written by surgeons who often have focused on how technical deficiencies in performing the operation led to the failure. Such reports are of limited value to the gastroenterologist seeking guidance on patient management. Furthermore, comparisons among the reports are confounded by the lack of a standardized definition for failed antireflux surgery. This report critically reviews the available literature, and suggests a practical approach to the management of patients who have symptoms that were not completely relieved, that reappeared later, or that were caused by antireflux surgery.
AB - Gastroenterologists may be called upon to manage patients who have had antireflux surgery that failed. The available literature on this topic comprises predominantly reports on retrospective, observational studies written by surgeons who often have focused on how technical deficiencies in performing the operation led to the failure. Such reports are of limited value to the gastroenterologist seeking guidance on patient management. Furthermore, comparisons among the reports are confounded by the lack of a standardized definition for failed antireflux surgery. This report critically reviews the available literature, and suggests a practical approach to the management of patients who have symptoms that were not completely relieved, that reappeared later, or that were caused by antireflux surgery.
UR - http://www.scopus.com/inward/record.url?scp=1942504436&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1942504436&partnerID=8YFLogxK
U2 - 10.1111/j.1572-0241.2004.04081.x
DO - 10.1111/j.1572-0241.2004.04081.x
M3 - Review article
C2 - 15056101
AN - SCOPUS:1942504436
SN - 0002-9270
VL - 99
SP - 552
EP - 561
JO - American Journal of Gastroenterology
JF - American Journal of Gastroenterology
IS - 3
ER -