| pubmed-article:2756401 | pubmed:abstractText | Roux-en-Y reconstruction has been in use for several years as a reoperation for persistent esophagitis after fundoplication. The limited data in the literature appear to favour this approach. We have conducted a retrospective review of the records of 5 patients who have undergone this type of surgery for persistent reflux in the last four years. In 3 of these patients after fundoplication endoscopy showed grade IV esophagitis, grade III esophagitis in 1, and grade II esophagitis in 1. After Roux-en-Y reconstruction 1 endoscopy showed grade I esophagitis in 1 patient, and grade II esophagitis in 1. Three patients had no evidence of esophagitis and 1 patient was symptom-free and refused endoscopy. These results are in agreement with those in the literature. We conclude that Roux-en-Y diversion is a practicable reoperation after fundoplication and provides good results. | lld:pubmed |
