Secrets for successful laparoscopic antireflux surgery: adequate follow-up
A laparoscopic fundoplication achieves long-term reflux symptom control in most patients. However, dysphagia, recurrence of symptoms and gas-related symptoms are experienced in 10% to 20% of patients postoperatively. To date, the adequate follow-up of patients undergoing laparoscopic fundoplication is not well established. In addition, the outcomes of patients undergoing antireflux surgery for Barrett’ esophagus (BE) are controversial. This article reviews the current evidence about the most effective follow-up after antireflux surgery, focusing on the management of the symptomatic patients and the need for surveillance in Barrett’s esophagus patients.