الفهرس 
? Surgical Anatomy and Physiology of the Gastro-Esophageal JunctionOnly 14 pages are availabe for public view
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Abstract
Surgical remedy for failed anti-reflux surgery operation is a successful choice
Patients and Methods: The study was conducted at the General Surgery Department of Ain shams University Hospitals during the period from October 2018 to December 2020. It included 20 patients with recurrent GERD after failed previous anti reflux surgery to evaluate the outcomes of redo anti-reflux surgery in recurrent cases and to determine feasibility, safety and efficacy of the procedures.
Results: The initial procedure in these patients was laparoscopic Nissen fundoplication. 24 patients were included but after esophageal motility study (manometry) 4 of them had functional (motility) disorder and were excluded from our study. So only 20 patients were studied. The causes of failure were migration (8 patients), disruption (3 patients), migration with disruption (7 patients) and high BMI (2 patients). The surgical remedy options done were hiatal repair, re-wrap, hiatal repair and re-wrap and Gastric bypass respectively. No mortality was reported and the complications were minor. Post-operative follow up showed significant improvement in symptoms and patient satisfaction.
Conclusion: Laparoscopic remedy for failed anti-reflux surgery is a feasible, safe choice in treating recurrent GERD. It shows promising results and should be offered to patients with recurrence.