Redo antireflux surgery

Brett Parker, Kevin Reavis

Research output: Chapter in Book/Report/Conference proceedingChapter


Laparoscopic antireflux surgery (ARS) has become the gold standard for medically refractory gastroesophageal reflux disease (GERD]. Though primary ARS has excellent safety and outcomes, up to 10% of patients undergoing laparoscopic fundoplication will eventually require reoperative antireflux surgery (redo-ARS). Laparoscopic redo-ARS is notoriously difficult with higher complication rates and worse outcomes when compared to the primary operation, and requires a thorough understanding of the surgical options and a high level of surgical skills. It is crucial for the surgeon and the patient to come to an agreement on postoperative expectations prior to embarking with revisional surgery, with a clear understanding that outcomes are generally worse after redo-ARS. Despite the technical challenges redo-ARS presents, when performed at a high-volume center, more than 80% of patients report satisfaction with their revision.

Original languageEnglish (US)
Title of host publicationBenign Esophageal Disease
Subtitle of host publicationModern Surgical Approaches and Techniques
Number of pages19
ISBN (Electronic)9783030514891
ISBN (Print)9783030514884
StatePublished - Apr 12 2021
Externally publishedYes


  • EndoFLIP
  • Failed fundoplication
  • GERD
  • LINX
  • Nissen
  • Recurrent hiatal hernia
  • Redo antireflux surgery
  • TIF

ASJC Scopus subject areas

  • General Medicine


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