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- 13. Predictability of mechanism of failure Iqbal et al. 104 failed anti-reflux procedures Iqbal et al. Reoperation for Failed Anti-Reflux Surgery. Ann Surg 2006; 244: 42-51. Mechanism of failure % of pre-operative predictability Crus closure failure 96 Hiatal stenosis 20 Partial fundoplication disruption 86 Complete fundoplication disruption 86 Hypertensive fundoplication 92 Slipped fundoplication 89 Loose fundoplication 50 Short esophagus 37 Gastroparesis 100