title: Management of the problem patient after antireflux surgery.
abstract: Long-term follow-up studies have confirmed the efficacy and durability of properly performed operations for gastroesophageal reflux; however, a significant number of patients develop trouble-some postoperative symptoms. Recurrent acid reflux and heartburn, dysphagia, gas bloat, diarrhea, and sliding and/or paraesophageal hernias may require medical or surgical intervention. Whereas some of these problems are transient, most require complete re-evaluations, and many require reoperations, ideally performed by surgeons with experience of these complex cases.
authors.affiliation: Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, Seattle, Washington.
authors.forename: D E
authors.initials: DE
authors.lastname: Low
mesh_terms: D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy; D012008:Recurrence; D012086:Reoperation