During the last 20 years, several procedures have been introduced that effectively control @entity354 . Nevertheless, little has been written regarding surgical management of @entity1 with recurrent @entity2910 following a failed antireflux procedure. The purpose of this study was to review the results of all operations for recurrent @entity2910 . Fifty-five @entity1 had undergone a total of 61 previous operations for reflux (initial operation: Hill, nine; Nissen, 30; Allison, eight; Thal, patch three; Belsey, 10; other, one). Eleven @entity1 underwent a Hill procedure (indications: intractable "gas-bloat" syndrome, 4 @entity1 , @entity2910 , 7 @entity1 ). Two developed recurrent @entity2910 (18%). Seventy-eight per cent had satisfactory results (mean follow-up 24 months), and there were no deaths. Three individuals had a transabdominal fundoplication. One @entity1 was lost to follow-up while the other two had satisfactory results (follow-up, 1 and 6 years). Twenty-nine @entity1 were subjected to a transthoracic fundoplication, with two deaths (seven per cent). One @entity1 (four per cent) was lost to follow-up at 9 months; mean follow-up was 44 months). Eighty-six per cent had satisfactory results. The sole poor result occurred in a @entity2631 @entity1 who ultimately required colon interposition. Twelve @entity1 underwent a Thal-Nissen procedure. One @entity1 was lost to follow-up (eight per cent), while another with @entity2631 had an unsatisfactory result (eight per cent); 83% had satisfactory results. The mean follow-up was 70 months. There were no deaths. Overall, 80% of @entity1 subjected to reoperation had satisfactory results. Mortality was four per cent. Reoperations for @entity354 constitute an effective means of controlling recurrent @entity2910 and compare favorably with primary operations in both mortality and success rate.

Reoperations for XXXX following failed antireflux procedures.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2910 :: ('MESH:D004941', 'Disease') :: ['esophagitis'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux'] @entity2631 :: ('MESH:D012594', 'Disease') :: ['scleroderma']
@entity2910 :: (MESH:D004941,Disease) :: ['esophagitis']
