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April 1979

Reoperation for Disruption and Recurrence After Nissen Fundoplication

Author Affiliations

From the Department of Surgery, Virginia Mason Medical Center, Seattle (Drs Hill, lives, and Pearson), and the Department of Surgery, University of Washington, Seattle (Drs Hill, lives, and Stevenson). Dr lives is a Howard Wright Fellow in Surgical Research. Dr Pearson is a former Fellow in Surgery from the Norman Archibald Foundation.

Arch Surg. 1979;114(4):542-548. doi:10.1001/archsurg.1979.01370280196033

• This report deals with 25 failed Nissen operations. A method of classifying the type of failure is presented. Manometric studies document disordered motor activity in ten of these patients with return to normal activity after rerepair. With these difficult patients, intraoperative manometrics allowed a satisfactory antireflux barrier to be created with posterior gastropexy. Good to excellent results were achieved in 22 of 24 patients. A search of the world literature is presented with complications ranging from the well-known "gas-bloat" syndrome to potentially lethal fistulas.

(Arch Surg 114:542-548, 1979)