Fundoplication is surgery to wrap the upper stomach around the lower esophagus. It makes backing up of acid into the esophagus from the stomach less likely.
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The surgery is most often done for the following reasons:
If you are planning to have fundoplication, your doctor will review a list of possible complications, which may include:
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.
Some factors that may increase the risk of complications include:
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 wide incision will be made in the abdomen. This is to expose the stomach and lower esophagus. The upper portion of the stomach will be wrapped around the esophagus. This will create pressure on the lower part of the esophagus. It will reduce the chance of stomach acid moving up the esophagus. If a hiatal hernia exists, the stomach will be placed entirely back in the abdomen. The opening in the diaphragm where the hernia poked through will be tightened.
You will have discomfort during recovery. Ask your doctor about medication to help with the pain.
After the procedure, you can expect the following:
Be sure to follow your doctor's instructions.
It will take about 6 weeks to recover.
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
If you think you are having an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
The Society of American Gastrointestinal and Endoscopic Surgeons
The 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. Accessed December 18, 2015.
Gastroesophageal reflux disease (heartburn). Ohio State University Medical Center website. Available at: http://wexnermedical.osu.edu/patient-care/healthcare-services/digestive-diseases/heartburn. Accessed December 18, 2015.
Last reviewed December 2015 by Marcin Chwistek, MD Last Updated: 12/20/2014