Repeat antireflux surgery: effectiveness of a toupet partial posterior fundoplication.
OBJECTIVE
To report the feasibility and efficacy of posterior partial fundoplication for patients with recurrent reflux after previous antireflux operations.


METHODS
Prospective non-randomised single hospital study.


METHODS
University hospital, Sweden.


METHODS
32 consecutive patients who required reoperation after failure of previous operations for gastro-oesophageal reflux disease.


METHODS
Control of symptoms, oesophageal acid reflux.


RESULTS
Most patients were referred for reoperation because of recurrent reflux, but six patients had a symptomatic intrahoracic herniation of the wrap with a life-threatening perforation in one patient. Three patients had recurrent reflux within 6 months of the operation and another two were classified as failures. The remaining 27 (84%) were classified as having a successful outcome during a mean follow-up period of 20 months.


CONCLUSIONS
A posterior partial fundoplication can be done safely in a repeat operation for patients whose antireflux operation has failed.
Johnsson
Erik
E
Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Lundell
Lars
L
D000328:Adult; D000368:Aged; D005260:Female; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome