Fundoplication is surgery to wrap upper stomach around the lower esophagus. It reduces the amount of acid that enters the esophagus from the stomach. Laparoscopic procedures use small incisions rather than the large incisions that are used during open surgery.
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The surgery is most often done for the following reasons:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
In rare cases, the procedure may need to be repeated. This may happen if the wrap was too tight, the wrap slips, or if a new hernia forms.
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications, such as:
Your doctor may do the following:
Leading up to the surgery:
General anesthesia will be used. It will block any pain and keep you asleep through the surgery.
A small incision will be made. A laparoscope is a small tool with a camera on the end. It will be inserted into the abdomen. It will allow the doctor to view the inside of the body on a video screen. Gas will be pumped into the abdomen to improve the view. Other small incisions will be made in the skin. Small surgical instruments will be inserted. The stomach will then be wrapped around the esophagus. If needed, any hernia will be repaired.
In some cases, the doctor may need to switch to an open surgery. A wide incision in the abdomen will be made to do the surgery.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Two days or more, depending on your condition
After surgery, you can expect the following:
It will take about two weeks to recover.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Call your doctor if any of these occur:
If you think you have an emergency, call for medical help right away.
National Digestive Diseases Clearinghouse
Society of American Gastrointestinal and Endoscopic Surgeons
Canadian Association of Gastroenterology
Fundoplication (lap Nissen). MUSC Health Digestive Disease Center website. Available at: http://www.ddc.musc.edu/surgery/surgeries/laparoscopic/fundoplication.cfm. Updated April 30, 2013. Accessed December 9, 2013.
Treating GERD. Ohio State University Medical Center website. Available at: http://medicalcenter.osu.edu/patientcare/healthcare_services/digestive_disorders/gerd_heartburn/diagnosing_treating_gerd/treating_gerd/Pages/index.aspx. Accessed December 9, 2013.
7/30/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Niebisch S, Fleming F, et al. Perioperative risk of laparoscopic fundoplication: safer than previously reported—analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009. American College of Surgeons. 2012(215);61-68.
Last reviewed December 2013 by Marcin Chwistek, MD; Michael Woods, MD
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 medical condition.
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