Table 1.
Demographic and clinical characteristics of the studied population
| N. of patients | 49 | ||
|---|---|---|---|
| Age (years) | 41 (31–51) | ||
| Time between primary and redo procedure (years) | 6 (3–13) | ||
| Median Eckardt’s score | 7.5 (6–9) | ||
| Main presenting symptom | N. of pts (%) | ||
| Dysphagia | 37 (75.5) | ||
| Regurgitation | 6 (12.2) | ||
| Chest pain | 6 (12.2) | ||
| Cause and timing of symptoms recurrence | N. of pts (%) | ||
| Early recurrence | 30 (61.2) | ||
| Incomplete myotomy | 19 (38.8) | ||
| Early fibrosis-scarring | 4 (8.2) | ||
| Obstructing fundoplication | 7 (14.3) | ||
| Late recurrence | 19 (38.8) | ||
| Incomplete myotomy | 8 (16.3) | ||
| Late fibrosis-scarring | 6 (12.2) | ||
| Disease progression | 5 (10.2) | ||
| Type of primary procedure | Type of associated fundoplication | N. of pts (%) | |
| Laparoscopic myotomy | 35 (71.4) | ||
| Partial anterior fundoplication | 26 (53.1) | ||
| Complete posterior fundoplication | 7 (14.3) | ||
| Reconstruction of the His angle | 1 (2) | ||
| No fundoplication | 1 (2) | ||
| Laparotomic myotomy | 9 (18.4) | ||
| Partial anterior fundoplication | 4 (8.2) | ||
| Complete posterior fundoplication | 4 (8.2) | ||
| No fundoplication | 1 (2) | ||
| Thoracotomic myotomy | 5 (10.2) | ||
| Partial posterior fundoplication | 2 (4.1) | ||
| No fundoplication | 3 (6) | ||
| Endoscopic dilations between primary and redo procedure | N. of pts (%) | ||
| Previous endoscopic dilations | 39 (79.6) | ||
| 1–2 endoscopic dilations | 18 (36.7) | ||
| > 3 endoscopic dilations | 21 (42.9) | ||
| No dilation | 10 (20.4) | ||