The results for anti-reflux surgery are generally good, however, patients who have failed anti-reflux procedures constitute a particularly challenging group. Which of the following statement(s) is/are true concerning failed anti-reflux repairs?
A. A Slipped Nissen is usually the result of an operative technical mistake
B. Disruption of a fundoplication is more prone to occur with a Nissen fundoplication because of the use of the gastric wall in the repair
C. Postoperative dysphagia in a patient with normal preoperative motility is usually due to a secondary motility disorder
D. Colonic replacement, although technically challenging, usually has superior long-term results when compared to esophageal replacement with the stomach
Answer:A
The results for anti-reflux surgery are generally good, however, patients who have failed anti-reflux procedures constitute a particularly challenging group. Which of the following statement(s) is/are true concerning failed anti-reflux repairs?
A. A Slipped Nissen is usually the result of an operative technical mistake B. Disruption of a fundoplication is more prone to occur with a Nissen fundoplication because of the use of the gastric wall in the repair C. Postoperative dysphagia in a patient with normal preoperative motility is usually due to a secondary motility disorder D. Colonic replacement, although technically challenging, usually has superior long-term results when compared to esophageal replacement with the stomach