Abnormal Demeester Score Predicts Outcomes in Revisional Surgery

Abnormal Demeester scores significantly predict the need for revisional antireflux surgery (ARS) and correlate with improved post-operative outcomes. In a study of 278 patients, those with abnormal scores were more likely to undergo revisional surgery (68.9% vs. 47.3%) and reported higher satisfaction rates (82.9% vs. 65.5%) and freedom from proton pump inhibitors (77.6% vs. 60.3%) at 14 months post-revision. This highlights the importance of pH monitoring in surgical decision-making for anatomical failure.