{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T15:33:17Z","timestamp":1774107197968,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The management of patients with gastroparesis and recurrent reflux after previous fundoplication is challenging. The aim of this study was to evaluate the safety and efficacy of subtotal gastrectomy with Roux\u2010en\u2010Y reconstruction as a remedial procedure in this select patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective analysis of a prospectively populated database identified all patients that underwent subtotal gastrectomy with Roux\u2010en\u2010Y reconstruction (SGRNY) due to reflux symptoms and delayed gastric emptying (DGE). Demographic, intra\u2010operative and post\u2010operative data including pre and post\u2010operative modified reflux aspiration scintigraphy studies were evaluated. Standardized questionnaires were used to assess symptomatic outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2018 SGRNY has been selectively performed in 13 patients. Preoperative workup confirmed DGE and severe symptomatic reflux in all patients. The median number of previous fundoplication and or hiatal hernia operations was two (range 1\u20133). The mean hospital length of stay was 10\u00a0\u00b1\u20096\u2009days. Post\u2010operative morbidity was experienced in three patients (23%). Seven patients (64%) had significant improvement or complete resolution of reflux on post\u2010operative scintigraphy. Symptom improvement was reported in 92% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a select patient cohort with post\u2010fundoplication reflux and DGE symptoms, SGRNY is a moderately safe and effective salvage option.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17460","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T06:14:25Z","timestamp":1641536065000},"page":"764-768","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Failed fundoplication with delayed gastric emptying: efficacy of subtotal gastrectomy"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5505-1265","authenticated-orcid":false,"given":"Jason P","family":"Robertson","sequence":"first","affiliation":[{"name":"Department of Surgery North Shore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Van der Wall","sequence":"additional","affiliation":[{"name":"School of Medicine University of Notre Dame, Australia CNI Meadow bank  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory L","family":"Falk","sequence":"additional","affiliation":[{"name":"Department of Upper Gastro\u2010Intestinal Surgery Concord Repatriation General Hospital  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-004-0489-4"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-019-0709-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2018.02.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6072-9"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6337-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1173-9"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-006-0048-0"},{"key":"e_1_2_8_9_1","first-page":"1847","article-title":"Gastrectomy versus stomach left in situ with Roux\u2010en\u2010Y reconstruction for the treatment of gastroparesis","volume":"1","author":"Landreneau JP","year":"2019","journal-title":"Surg. 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