Revisional surgery for failed antireflux surgery

The outcome and morbidity of revisional surgery after antireflux surgery has been suggested to be suboptimal compared with primary repair. Therefore, an individualized therapeutic approach based on exact analysis of the reasons for failure of the initial procedure is essential for successful management of these patients. This study attempts to summarize the management of this challenging patient population with a focus on the clinical presentation, causes of failure, evaluation, and variety and choice of revisional techniques.