This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Gastrointestinal Diseases  • Gastrointestinal/ Upper Foregut  • Prognosis/ Outcomes  • Otolaryngology/ Head & Neck Surgery  • Dysphagia  • Alert me on articles by topic

Carlos A. Pellegrini, MD

Arch Surg. 2008;143(3):274.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Furnée et al report, in one of the largest series of subsequent operations for failed antireflux procedures, an overall success rate of 70%. Considering the 90% or greater success rate reported for primary operations, these results can be seen as "the glass is half full" vs "the glass is half empty."

On the "half full" side, one must assume that in a group of patients with either defective emptying or incompetent cardia in whom a previous operation has failed and other less invasive modalities have been tried and failed (presumably), a two-thirds success rate is an excellent outcome. Furthermore, among those who presented with abnormal gastroesophageal reflux disease, esophageal acid exposure was decreased by the subsequent operation from 11% (preoperatively) to approximately 4% (postoperatively) (<4.6% is considered normal).

On the "half empty" side, a closer look at the results shows that complete resolution of the presenting . . . [Full Text of this Article]

AUTHOR INFORMATION