Surgery is only performed in severe cases of GERD.
is the surgical procedure used to treat gastroesophageal reflux disease (GERD). A
, if present, may also be fixed during this procedure. A hiatal hernia occurs when a portion of the stomach pokes through an opening in the diaphragm and into the chest cavity. This increases the severity of GERD.
There are two methods used to perform a fundoplication:
Nissen Fundoplication/Open Surgical Procedure
Both procedures are performed with the patient under general anesthesia.
Nissen Fundoplication/Open Surgical Procedure –
The surgeon makes a wide incision. This exposes the stomach and lower esophagus. The surgeon wraps the upper portion of the stomach around the esophagus. This creates pressure on the sphincter muscle at the bottom of the esophagus. If a hiatal hernia exists, the surgeon will also position the stomach back in the abdomen and narrow the opening in the diaphragm.
Laparoscopic Procedure –
The doctor makes a small incision and inserts a laparoscope—a thin, flexible instrument with a light that allows the doctor to view the inside of the body on a view scope or on a screen. Gas is pumped into the abdomen to improve viewing. Other small incisions are made in the skin to allow for the insertion of surgical instruments. The doctor then wraps the stomach around the esophagus. If present, a hiatal hernia is repaired.
Each procedure takes several hours. The recovery period from an open procedure is usually about six weeks and about two weeks from a laparoscopic procedure. After successful fundoplication, some patients may be able to stop taking medication. Others may still require medication, but may need less or may experience significant relief from other symptoms of GERD.
Current Surgical Diagnosis and Treatment
. 10th edition. Appleton and Lange; 1994.
The Society of American Gastrointestinal and Endoscopic Surgeons website. Available at:
. Accessed March 7, 2006.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a