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. The procedure is done through an endoscope, which is a lighted tube with a camera on the end.
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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.
This procedure does not require incisions. A lighted tube with a camera on the end, called an endoscope, will be inserted through your mouth and down the esophagus. The scope will reach the first part of the stomach. The stomach will then be wrapped around the esophagus. If needed, any hernia will be repaired.
Less than an hour
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
2-3 days (may be more or less depending on your condition)
After surgery, you can expect the following:
It will take a few days to 1 week 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 are having an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Society of American Gastrointestinal and Endoscopic Surgeons
Canadian Association of Gastroenterology
Endoscopic transoral incisionless fundoplication (TIF) or Esophyx. Medical College of Wisconsin website. Available at: http://www.mcw.edu/generalsurgery/patientinfo/Foregut-Surgery-Program/Reflux-Disease/TIF.htm. Accessed December 18, 2015.
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://medicalcenter.osu.edu/patientcare/healthcare_services/digestive_disorders/gerd_heartburn/diagnosing_treating_gerd/treating_gerd/Pages/index.aspx. Accessed December 18, 2015.
Last reviewed December 2015 by Marcin Chwistek, MD Last Updated: 12/20/2014