Management of the “Failed Nissen”
Laparoscopic Nissen fundoplication has become the gold standard in the surgical treatment of gastroesophageal reflux disease (GERD). As growing cohorts provide long-term follow-up, surgeons face larger numbers of patients presenting with symptoms that suggest a failed antireflux procedure. Evaluation of such patients should include a thorough assessment of subjective symptoms, past operative information and objective data. Dysphagia, heartburn and other complaints are best quantified according to standardized measures such as the GERD Healthcare-Related Quality of Life index (GERD-HRQL) or Gastrointestinal Symptom Rating Scale (GSRS).
Source: Techniques in Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Danielle T. Friedman, Erin Moran-Atkin Source Type: research
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