Nissen Fundoplication Surgery
Gastroesophageal reflux disease (GERD) is a disorder that affects the lower esophageal sphincter or valve separating stomach from esophagus. This valve normally prevents food from regurgitation back into the esophagus. Patients with GERD have a weakened sphincter that allows for stomach acid to flow back into the esophagus. The esophageal lining becomes inflamed and patients experience heartburn, chest pain, and even a sour taste in their mouth. If left untreated, GERD can lead to ulcer formation, bleeding, and scarring.

GERD is most commonly managed by medication and lifestyle changes such as weight loss and diet modification. However, these treatments may not be completely successful at controlling gastroesophageal reflux disease (GERD) and surgery may then be appropriate.

Laparoscopic antireflux surgery is a minimally invasive approach to correct GERD. Most commonly a laparoscopic Nissen fundoplication is performed. In this procedure the weakened lower esophageal sphincter is supported by wrapping the top portion of the stomach around the lower esophagus as a bolster. At the same time if there is a hiatal hernia or part of the stomach residing in the chest cavity, this hernia will be returned to the abdomen and the abdominal opening secured.

The surgery involves several small holes in the abdomen with the placement of telescopic instruments. Surgeons utilize video monitors to perform the surgery. Patients undergoing the laparoscopic approach experience less pain and scarring than the traditional open operation. Most patients begin oral intake the next morning following surgery and are discharged within 48 hours to home.