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Complications After Antireflux Surgery (ARS) and Managements

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Laparoscopic Antireflux Surgery

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Abstract

The primary goal of antireflux surgery is to anatomically restore the antireflux barrier and thereby reduce gastroesophageal reflux episodes. The application of laparoscopy to antireflux surgery has decreased patient morbidity and hospital length of stay and has replaced the open abdominal Nissen fundoplication as the procedure of choice. Laparoscopic antireflux surgery (LARS) is a safe operation when it is performed by experienced surgeons. Perioperative mortality rates range from 0.1 to 0.2%, and prolonged structural complications occur in up to 30% of cases. Complications that are specific to antireflux surgery include infection, bleeding, and esophagogastric perforation. In addition, LARS can result in postoperative functional complications, including dysphagia, gas-bloat syndrome, and diarrhea. Reoperation is best reserved for severe structural abnormalities and troublesome symptoms those that are not responsible for medical and endoscopic therapy.

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, South Korea

    Kyo Young Song

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  1. Kyo Young Song
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Correspondence to Kyo Young Song .

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Editors and Affiliations

  1. Department of Surgery, Korea University Medical Center, Seoul, Korea (Republic of)

    Sungsoo Park

  2. Department of Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA

    Miguel Burch

  3. Department of Surgery, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Korea (Republic of)

    Joong-Min Park

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Song, K.Y. (2023). Complications After Antireflux Surgery (ARS) and Managements. In: Park, S., Burch, M., Park, JM. (eds) Laparoscopic Antireflux Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-7173-0_8

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  • DOI: https://doi.org/10.1007/978-981-19-7173-0_8

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7172-3

  • Online ISBN: 978-981-19-7173-0

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