The Management of Patients Who Have "Failed" Antireflux Surgery

Research output: Contribution to journalReview articlepeer-review

50 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)552-561
Number of pages10
JournalAmerican Journal of Gastroenterology
Issue number3
StatePublished - Mar 1 2004

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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