Skip to main content
Top
Published in: Journal of Gastrointestinal Surgery 8/2009

Open Access 01-08-2009 | Review Article

Surgical Reintervention After Failed Antireflux Surgery: A Systematic Review of the Literature

Authors: Edgar J. B. Furnée, Werner A. Draaisma, Ivo A. M. J. Broeders, Hein G. Gooszen

Published in: Journal of Gastrointestinal Surgery | Issue 8/2009

Login to get access

Abstract

Background

Outcome and morbidity of redo antireflux surgery are suggested to be less satisfactory than those of primary surgery. Studies reporting on redo surgery, however, are usually much smaller than those of primary surgery. The aim of this study was to summarize the currently available literature on redo antireflux surgery.

Material and Methods

A structured literature search was performed in the electronic databases of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials.

Results

A total of 81 studies met the inclusion criteria. The study design was prospective in 29, retrospective in 15, and not reported in 37 studies. In these studies, 4,584 reoperations in 4,509 patients are reported. Recurrent reflux and dysphagia were the most frequent indications; intraoperative complications occurred in 21.4% and postoperative complications in 15.6%, with an overall mortality rate of 0.9%. The conversion rate in laparoscopic surgery was 8.7%. Mean(±SEM) duration of surgery was 177.4 ± 10.3 min and mean hospital stay was 5.5 ± 0.5 days. Symptomatic outcome was successful in 81.1% and was equal in the laparoscopic and conventional approach. Objective outcome was obtained in 24 studies (29.6%) and success was reported in 78.3%, with a slightly higher success rate in case of laparoscopy than with open surgery (85.8% vs. 78.0%).

Conclusion

This systematic review on redo antireflux surgery has confirmed that morbidity and mortality after redo surgery is higher than after primary surgery and symptomatic and objective outcome are less satisfactory. Data on objective results were scarce and consistency with regard to reporting outcome is necessary.
Literature
3.
go back to reference De Meester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg 1986;204:9–20. doi:10.1097/00000658-198607000-00002. De Meester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg 1986;204:9–20. doi:10.​1097/​00000658-198607000-00002.
5.
go back to reference Grande L, Toledo-Pimentel V, Manterola C, Lacima G, Ros E, Garcia-Valdecasas JC et al. Value of Nissen fundoplication in patients with gastro-oesophageal reflux judged by long-term symptom control. Br J Surg 1994;81:548–550. doi:10.1002/bjs.1800810421.CrossRefPubMed Grande L, Toledo-Pimentel V, Manterola C, Lacima G, Ros E, Garcia-Valdecasas JC et al. Value of Nissen fundoplication in patients with gastro-oesophageal reflux judged by long-term symptom control. Br J Surg 1994;81:548–550. doi:10.​1002/​bjs.​1800810421.CrossRefPubMed
7.
go back to reference Gott JP, Polk HC Jr. Repeat operation for failure of antireflux procedures. Surg Clin North Am 1991;71:13–32.PubMed Gott JP, Polk HC Jr. Repeat operation for failure of antireflux procedures. Surg Clin North Am 1991;71:13–32.PubMed
8.
go back to reference Furnee EJ, Draaisma WA, Broeders IA, Smout AJ, Gooszen HG. Surgical reintervention after antireflux surgery for gastroesophageal reflux disease: A prospective cohort study in 130 patients. Arch Surg 2008;143:267–274. doi:10.1001/archsurg.2007.50.CrossRefPubMed Furnee EJ, Draaisma WA, Broeders IA, Smout AJ, Gooszen HG. Surgical reintervention after antireflux surgery for gastroesophageal reflux disease: A prospective cohort study in 130 patients. Arch Surg 2008;143:267–274. doi:10.​1001/​archsurg.​2007.​50.CrossRefPubMed
11.
go back to reference Byrne JP, Smithers BM, Nathanson LK, Martin I, Ong HS, Gotley DC. Symptomatic and functional outcome after laparoscopic reoperation for failed antireflux surgery. Br J Surg 2005;92:996–1001. doi:10.1002/bjs.4914.CrossRefPubMed Byrne JP, Smithers BM, Nathanson LK, Martin I, Ong HS, Gotley DC. Symptomatic and functional outcome after laparoscopic reoperation for failed antireflux surgery. Br J Surg 2005;92:996–1001. doi:10.​1002/​bjs.​4914.CrossRefPubMed
15.
go back to reference Franzen T, Johansson KE. Symptoms and reflux competence in relation to anatomical findings at reoperation after laparoscopic total fundoplication. Eur J Surg 2002;168:701–706.PubMed Franzen T, Johansson KE. Symptoms and reflux competence in relation to anatomical findings at reoperation after laparoscopic total fundoplication. Eur J Surg 2002;168:701–706.PubMed
17.
go back to reference Granderath FA, Kamolz T, Schweiger UM, Pasiut M, Haas CF, Wykypiel H et al. Is laparoscopic refundoplication feasible in patients with failed primary open antireflux surgery? Surg Endosc 2002;16:381–385. doi:10.1007/s00464-001-9102-x.CrossRefPubMed Granderath FA, Kamolz T, Schweiger UM, Pasiut M, Haas CF, Wykypiel H et al. Is laparoscopic refundoplication feasible in patients with failed primary open antireflux surgery? Surg Endosc 2002;16:381–385. doi:10.​1007/​s00464-001-9102-x.CrossRefPubMed
23.
go back to reference Kamolz T, Granderath FA, Bammer T, Pasiut M, Pointner R. Failed antireflux surgery: Surgical outcome of laparoscopic refundoplication in the elderly. Hepatogastroenterology 2002;49:865–868.PubMed Kamolz T, Granderath FA, Bammer T, Pasiut M, Pointner R. Failed antireflux surgery: Surgical outcome of laparoscopic refundoplication in the elderly. Hepatogastroenterology 2002;49:865–868.PubMed
24.
go back to reference Kamolz T, Granderath PA, Bammer T, Pasiut M, Wykypiel H Jr, Herrmann R et al. Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: A single unit review of more than 500 antireflux procedures. Dig Liver Dis 2002;34:470–476. doi:10.1016/S1590-8658(02)80104-9.CrossRefPubMed Kamolz T, Granderath PA, Bammer T, Pasiut M, Wykypiel H Jr, Herrmann R et al. Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: A single unit review of more than 500 antireflux procedures. Dig Liver Dis 2002;34:470–476. doi:10.​1016/​S1590-8658(02)80104-9.CrossRefPubMed
25.
27.
30.
go back to reference Rosemurgy AS, Arnaoutakis DJ, Thometz DP, Binitie O, Giarelli NB, Bloomston M et al. Reoperative fundoplications are effective treatment for dysphagia and recurrent gastroesophageal reflux. Am Surg 2004;70:1061–1067.PubMed Rosemurgy AS, Arnaoutakis DJ, Thometz DP, Binitie O, Giarelli NB, Bloomston M et al. Reoperative fundoplications are effective treatment for dysphagia and recurrent gastroesophageal reflux. Am Surg 2004;70:1061–1067.PubMed
39.
go back to reference Bataille D, Simoens C, Mendes da CP. Laparoscopic revision for failed anti-reflux surgery. Preliminary results. Hepatogastroenterology 2006;53:86–88.PubMed Bataille D, Simoens C, Mendes da CP. Laparoscopic revision for failed anti-reflux surgery. Preliminary results. Hepatogastroenterology 2006;53:86–88.PubMed
51.
go back to reference Stirling MC, Orringer MB. Surgical treatment after the failed antireflux operation. J Thorac Cardiovasc Surg 1986;92:667–672.PubMed Stirling MC, Orringer MB. Surgical treatment after the failed antireflux operation. J Thorac Cardiovasc Surg 1986;92:667–672.PubMed
53.
go back to reference Awad ZT, Anderson PI, Sato K, Roth TA, Gerhardt J, Filipi CJ. Laparoscopic reoperative antireflux surgery. Surg Endosc 2001;15:1401–1407.PubMed Awad ZT, Anderson PI, Sato K, Roth TA, Gerhardt J, Filipi CJ. Laparoscopic reoperative antireflux surgery. Surg Endosc 2001;15:1401–1407.PubMed
55.
go back to reference Bonavina L, Chella B, Segalin A, Incarbone R, Peracchia A. Surgical therapy in patients with failed antireflux repairs. Hepatogastroenterology 1998;45:1344–1347.PubMed Bonavina L, Chella B, Segalin A, Incarbone R, Peracchia A. Surgical therapy in patients with failed antireflux repairs. Hepatogastroenterology 1998;45:1344–1347.PubMed
56.
go back to reference Braghetto I, Csendes A, Nava O, Henriquez A, Quesada S. Clinical and laboratory characteristics and surgical alternatives in patients with postoperative recurrent reflux esophagitis. Dig Surg 1993;10:59–64. doi:10.1159/000172143.CrossRef Braghetto I, Csendes A, Nava O, Henriquez A, Quesada S. Clinical and laboratory characteristics and surgical alternatives in patients with postoperative recurrent reflux esophagitis. Dig Surg 1993;10:59–64. doi:10.​1159/​000172143.CrossRef
57.
go back to reference Collard JM, Verstraete L, Otte JB, Fiasse R, Goncette L, Kestens PJ. Clinical, radiological and functional results of remedial antireflux operations. Int Surg 1993;78:298–306.PubMed Collard JM, Verstraete L, Otte JB, Fiasse R, Goncette L, Kestens PJ. Clinical, radiological and functional results of remedial antireflux operations. Int Surg 1993;78:298–306.PubMed
58.
go back to reference Collard JM, Romagnoli R, Kestens PJ. Reoperation for unsatisfactory outcome after laparoscopic antireflux surgery. Dis Esophagus 1996;9:56–62. Collard JM, Romagnoli R, Kestens PJ. Reoperation for unsatisfactory outcome after laparoscopic antireflux surgery. Dis Esophagus 1996;9:56–62.
61.
go back to reference Granderath FA, Kamolz T, Schweiger UM, Pointner R. Long-term follow-up after laparoscopic refundoplication for failed antireflux surgery: Quality of life, symptomatic outcome, and patient satisfaction. J Gastrointest Surg 2002;6:812–818. doi:10.1016/S1091-255X(02)00089-6.CrossRefPubMed Granderath FA, Kamolz T, Schweiger UM, Pointner R. Long-term follow-up after laparoscopic refundoplication for failed antireflux surgery: Quality of life, symptomatic outcome, and patient satisfaction. J Gastrointest Surg 2002;6:812–818. doi:10.​1016/​S1091-255X(02)00089-6.CrossRefPubMed
63.
go back to reference Henderson RD. Nissen hiatal hernia repair: Problems of recurrence and continued symptoms. Ann Thorac Surg 1979;28:587–593.PubMedCrossRef Henderson RD. Nissen hiatal hernia repair: Problems of recurrence and continued symptoms. Ann Thorac Surg 1979;28:587–593.PubMedCrossRef
64.
go back to reference Henderson RD, Marryatt G. Recurrent hiatal hernia: management by thoracoabdominal total fundoplication gastroplasty. Can J Surg 1981;24:151–157.PubMed Henderson RD, Marryatt G. Recurrent hiatal hernia: management by thoracoabdominal total fundoplication gastroplasty. Can J Surg 1981;24:151–157.PubMed
65.
go back to reference Henderson RD. Surgical management of the failed gastroplasty. J Thorac Cardiovasc Surg 1986;91:46–52.PubMed Henderson RD. Surgical management of the failed gastroplasty. J Thorac Cardiovasc Surg 1986;91:46–52.PubMed
66.
go back to reference Henderson RD, Marryatt G, Henderson RF. Review of the surgical management of recurrent hiatal hernia: 5-year follow-up. Can J Surg 1988;31:341–345.PubMed Henderson RD, Marryatt G, Henderson RF. Review of the surgical management of recurrent hiatal hernia: 5-year follow-up. Can J Surg 1988;31:341–345.PubMed
67.
go back to reference Heniford BT, Matthews BD, Kercher KW, Pollinger H, Sing RF. Surgical experience in fifty-five consecutive reoperative fundoplications. Am Surg 2002;68:949–954.PubMed Heniford BT, Matthews BD, Kercher KW, Pollinger H, Sing RF. Surgical experience in fifty-five consecutive reoperative fundoplications. Am Surg 2002;68:949–954.PubMed
68.
go back to reference Hill LD. Management of recurrent hiatal hernia. Arch Surg 1971;102:296–302.PubMed Hill LD. Management of recurrent hiatal hernia. Arch Surg 1971;102:296–302.PubMed
69.
go back to reference Hill LD, Ilves R, Stevenson JK, Pearson JM. Reoperation for disruption and recurrence after Nissen fundoplication. Arch Surg 1979;114:542–548.PubMed Hill LD, Ilves R, Stevenson JK, Pearson JM. Reoperation for disruption and recurrence after Nissen fundoplication. Arch Surg 1979;114:542–548.PubMed
72.
go back to reference Leonardi HK, Crozier RE, Ellis FH Jr. Reoperation for complications of the Nissen fundoplication. J Thorac Cardiovasc Surg 1981;81:50–56.PubMed Leonardi HK, Crozier RE, Ellis FH Jr. Reoperation for complications of the Nissen fundoplication. J Thorac Cardiovasc Surg 1981;81:50–56.PubMed
74.
go back to reference Little AG, Ferguson MK, Skinner DB. Reoperation for failed antireflux operations. J Thorac Cardiovasc Surg. 1986;91:511–517.PubMed Little AG, Ferguson MK, Skinner DB. Reoperation for failed antireflux operations. J Thorac Cardiovasc Surg. 1986;91:511–517.PubMed
75.
79.
go back to reference Orringer MB, Skinner DB, Belsey RH. Long-term results of the Mark IV operation for hiatal hernia and analyses of recurrences and their treatment. J Thorac Cardiovasc Surg 1972;63:25–33.PubMed Orringer MB, Skinner DB, Belsey RH. Long-term results of the Mark IV operation for hiatal hernia and analyses of recurrences and their treatment. J Thorac Cardiovasc Surg 1972;63:25–33.PubMed
81.
go back to reference Peracchia A, Bonavina L. Reoperation after failure of antireflux repairs. Gastroenterol Int 1997;10:S81–S84. Peracchia A, Bonavina L. Reoperation after failure of antireflux repairs. Gastroenterol Int 1997;10:S81–S84.
82.
go back to reference Pettersson G, Gatzinsky P. Surgical treatment of symptomatic gastroesophageal reflux recurring after hiatal hernia repair. Acta Chir Scand 1985;151:457–460.PubMed Pettersson G, Gatzinsky P. Surgical treatment of symptomatic gastroesophageal reflux recurring after hiatal hernia repair. Acta Chir Scand 1985;151:457–460.PubMed
88.
go back to reference Szwerc MF, Wiechmann RJ, Maley RH, Santucci TS, Macherey RS, Landreneau RJ. Reoperative laparoscopic antireflux surgery. Surgery 1999;126:723–728.PubMed Szwerc MF, Wiechmann RJ, Maley RH, Santucci TS, Macherey RS, Landreneau RJ. Reoperative laparoscopic antireflux surgery. Surgery 1999;126:723–728.PubMed
89.
go back to reference Zucker K, Peskin GW, Saik RP. Recurrent hiatal hernia repair: A potential surgical dilemma. Arch Surg 1982;117:413–414.PubMed Zucker K, Peskin GW, Saik RP. Recurrent hiatal hernia repair: A potential surgical dilemma. Arch Surg 1982;117:413–414.PubMed
91.
go back to reference Scheffer RC, Samsom M, Frakking TG, Smout AJ, Gooszen HG. Long-term effect of fundoplication on motility of the oesophagus and oesophagogastric junction. Br J Surg 2004;91:1466–1472. doi:10.1002/bjs.4759.CrossRefPubMed Scheffer RC, Samsom M, Frakking TG, Smout AJ, Gooszen HG. Long-term effect of fundoplication on motility of the oesophagus and oesophagogastric junction. Br J Surg 2004;91:1466–1472. doi:10.​1002/​bjs.​4759.CrossRefPubMed
92.
go back to reference Galvani C, Fisichella PM, Gorodner MV, Perretta S, Patti MG. Symptoms are a poor indicator of reflux status after fundoplication for gastroesophageal reflux disease: Role of esophageal functions tests. Arch Surg 2003;138:514–518. doi:10.1001/archsurg.138.5.514.CrossRefPubMed Galvani C, Fisichella PM, Gorodner MV, Perretta S, Patti MG. Symptoms are a poor indicator of reflux status after fundoplication for gastroesophageal reflux disease: Role of esophageal functions tests. Arch Surg 2003;138:514–518. doi:10.​1001/​archsurg.​138.​5.​514.CrossRefPubMed
Metadata
Title
Surgical Reintervention After Failed Antireflux Surgery: A Systematic Review of the Literature
Authors
Edgar J. B. Furnée
Werner A. Draaisma
Ivo A. M. J. Broeders
Hein G. Gooszen
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 8/2009
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-009-0873-z

Other articles of this Issue 8/2009

Journal of Gastrointestinal Surgery 8/2009 Go to the issue