Anti-reflux mucosal ablation (ARMA) is an emerging endoscopic treatment aimed at enhancing the gastroesophageal junction flap valve. Laparoscopic Revision of Failed ARMA therapy seems the same as rotine laparoscopic Nissen Fundoplication and Hiatal Herniorraphy. Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease, with success rates from 90 to 95%. In experienced hands, reoperative antireflux surgery can be done laparoscopically.
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