Why Antireflux Surgery Fails

The surgical treatment of the intrathoracic migration of the gastro-oesophageal junction and of short oesophagus in gastro-oesophageal reflux disease1

“…The tubularized proximal stomach is hardly distinguishable from the distal oesophagus [10,18]. Moreover, the pneumoperitoneum forces the diaphragm upwards, thus artificially increasing the length of the intraabdominal oesophagus [20].…”

Laparoskopische Fundoplikatio: Indikation und Management von Komplikationen

“…Success and failure rates primarily depend on a precise indication to surgery and on the frequency how offen the procedure is performed in the institution and by a single surgeon [32][33][34]. A precise indication does not only include an upper GI-endoscopy or pH-values, but also has to clarify whether patients complaints are due to gastroesophageal reflux or not.…”

Surgical Treatment of Gastroesophageal Reflux Disease

“…Poor surgical results are caused by mechanical problems or persistence of symptoms (Campos et al 1999;Rice et al 2000).…”