What are GERD operation complications?

• Reported in up to 3-10% of patients • General vs. specific to operation • Identified at the time of operation vs. post-operative Operative: • Pneumothorax is one of the most common intraoperative complications (5-8%), This CO2 pneumothorax does not need to be evacuated because it is rapidly absorbed, Approach: O2 therapy and CXR within 2 hour • Gastric and esophageal injuries in1% of cases • Result from overaggressive tissue manipulation or passage of the bougie • If unidentified during the procedure, a second operation may be needed to repair the visceral injury • Splenic injury (2.3%) yet is < 0.1% in high-volume centers • Liver injury decreased with the use of a fixed retractor