257 Long-Term Surgical Outcome After Redo Antireflux Surgery

Abstract Aim Revisional anti-reflux surgery is complex and has higher morbidity and mortality compared to primary interventions. To review long-term outcomes and patient satisfaction for patients undergoing redo surgeries. Method Retrospective analysis of prospective data of 28 consecutive patients who underwent a revisional surgery between July 2008 and January 2024 in a large DGH. The data collected were social demographics, operative details, and validated gastro-oesophageal reflux disease – health-related quality of life (GERD-HRQL) questionnaire at preoperative, 6-month postoperative and long-term follow-up. Results Twenty-eight were included with M:F, age, BMI and ASA were 12(43%): 16(57%), 54(21-79) years, 27(19-32) and II(I-III) respectively. Preoperatively, heartburn, regurgitation, dysphagia, and weight loss seen in 23(82%), 13 (47%), 24(86%) and 13 (47%) respectively. Upright, supine, total reflux and Demeester were 5.08±5.9, 8.84±16.2, 7.26±9.7 and 28.3±36.7 respectively. Preoperative and postoperative {PO (6-month)} GERD-HRQL scores were 24.5±9.4 and 2.6±5.1 respectively. Three unrelated deaths. Of 25, 24 (96%) were contactable: GERD-HRQL scores 1-5 years, 6-10 years and >10 years PO were 10.4±6.7, 11.2±2.8 and 9.6±2.6 respectively. 21(75%) of 28 were satisfied 6 months PO. Of 24, 8(89%) of 9 at 1-5 years PO, 4 (57%) of 7 at 6-10 years PO and 5(63%) of 8 >10 years PO were satisfied. Conclusions GERD-HRQL score following revisional surgery showed significant improvement in the short term; however, it deteriorated in the long-term follow-up. Patient satisfaction, although dropped, was still over 70%, thus justifying redo surgeries by experienced surgeons.