Conversion from failed antireflux surgery to RefluxStop: A multicenter feasibility, technical evaluation, safety, and effectiveness study with 30 consecutive cases - Summary - MDSpire

Conversion from failed antireflux surgery to RefluxStop: A multicenter feasibility, technical evaluation, safety, and effectiveness study with 30 consecutive cases

  • By

  • Thorsten G. Lehmann

  • Joerg Zehetner

  • June 11, 2026

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Objective:

To report the feasibility and outcomes of converting to RefluxStop after failed antireflux surgery (ARS) and discuss surgical considerations of conversion.

Approach:
    Key Findings:
    • Most subjects (53.3%) were female, with a median age of 55 years and median BMI of 26.9 kg/m2.
    • 86.7% of patients had hiatal hernia (HH) at baseline, with 33.3% having HH ≥4 cm.
    • 93.3% of subjects were on PPI therapy post-ARS, with 86.7% experiencing persistent symptoms before RefluxStop.
    Interpretation:

    RefluxStop may be a feasible option for patients with persistent GERD symptoms after failed ARS, showing potential for improved outcomes.

    Limitations:
    • The study is limited by its retrospective design and small sample size.
    • Data was collected from two centers, which may affect generalizability.
    Conclusion:

    RefluxStop surgery may provide a suitable alternative for patients with failed ARS, offering a novel approach to managing GERD.

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