Hope T Jackson, MD, Robert B Yates, MD, Brant K Oelschlager, MD. University of Washington
Anti-reflux surgery fails because of anatomic problems with the fundoplication or hiatus. These problems include an incorrectly constructed fundoplication, slipped fundoplication, weakened anti-reflux valve and recurrent hiatal hernia. Patient symptoms are typically unable to be controlled with medications and often surgical management is necessary. Reoperative surgery, however, is more challenging than primary repair as important tissue planes of dissection can be obscured due to scarring. This increases the risk of injury to the esophagus and stomach. The laparoscopic approach improves visualization which can help prevent or more easily identify these injuries. This video will discuss causes of anti reflux surgery failure and our approach to operative management.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88475
Program Number: V026
Presentation Session: Foregut Videos Session
Presentation Type: Video