Abstract
Objective: To report the feasibility and efficacy of posterior partial fundoplication for patients with recurrent reflux after previous antireflux operations. Design: Prospective non-randomised single hospital study. Setting: University hospital, Sweden. Patients: 32 consecutive patients who required reoperation after failure of previous operations for gastro-oesophageal reflux disease. Main outcome measures: Control of symptoms, oesophageal acid reflux. Results: Most patients were referred for reoperation because of recurrent reflux, but six patients had a symptomatic intrahoracic herniation of the wrap with a life-threatening perforation in one patient. Three patients had recurrent reflux within 6 months of the operation and another two were classified as failures. The remaining 27 (84%) were classified as having a successful outcome during a mean follow-up period of 20 months. Conclusion: A posterior partial fundoplication can be done safely in a repeat operation for patients whose antireflux operation has failed.