Laparoscopic Nissen fundoplication is a surgical procedure that alleviates gastroesophageal reflux disease (GERD) symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.
The procedure was first performed in 1951 as an open-surgical procedure. Patients were hospitalized for 7 to 10 days after the procedure. Today, the Nissen fundoplication is performed in approximately 90 minutes. A majority of the time the patient is in the hospital overnight and is discharged the morning after surgery.
information about our heartburn services at the Triad Heartburn Treatment Center, call toll-free
Office hours are Monday-Friday, 8 a.m. to 4:30 p.m.
How the procedure works
The purpose of the surgery is to fix a hiatal hernia, if present, and to form a valve around the lower esophagus to keep stomach contents from flowing back into the esophagus.
In this procedure, the top part of the stomach (approximately 5 percent) is wrapped around the esophagus to form an additional valve to keep stomach contents from flowing up into the esophagus. The patient has five or six incisions, about ¼-inch each, in the abdomen. Post-operation, after arousing from the anesthesia, the patient is given liquids to drink, advancing then to a soft diet. It is a successful treatment in about 95 percent of the patients who have surgery.
Am I a candidate?
Patients are carefully screened prior to having a Nissen fundoplication. Not all heartburn sufferers are candidates for the surgery. The first step is to realize that heartburn and acid reflux are serious and can have a negative impact on daily living.