This paper includes commentaries on outcomes of esophageal surgery, including 
the mechanisms by which fundoduplication improves lower esophageal sphincter 
(LES) pressure; the efficacy of the Linx™ management system in improving LES 
function; the utility of radiologic characterization of antireflux valves 
following surgery; the correlation between endoscopic findings and reported 
symptoms following antireflux surgery; the links between laparoscopic sleeve 
gastrectomy and decreased LES pressure, endoscopic esophagitis, and 
gastroesophageal reflux disease (GERD); the less favorable outcomes following 
fundoduplication among obese patients; the application of bioprosthetic meshes 
to reinforce hiatal repair and decrease the incidence of paraesophageal hernia; 
the efficacy of endoluminal antireflux procedures, and the limited efficacy of 
revisional antireflux operations, underscoring the importance of good primary 
surgery and diligent work-up to prevent the necessity of revisional procedures.