by Editorial Staff and Contributors
Fundoplication is a surgery on the stomach and esophagus. It is done to treat gastroesophageal reflux disease (GERD). GERD is also called acid reflux, or heartburn. This occurs when acid from the stomach goes up the esophagus. A hiatal hernia may also be fixed during this procedure. This type of hernia occurs when a portion of the stomach pokes into the chest cavity. This hernia increases the chance and severity of GERD.
Reasons for Procedure
The surgery is most often done for the following reasons:
Possible Complications TOP
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:
What to Expect TOP
Prior to Procedure
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.
Description of the Procedure
The doctor will make a small incision. The laparoscope (a small tool with a camera on the end) 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. The doctor will make other, small incisions in the skin. Small surgical instruments will be inserted. The stomach will then be wrapped around the esophagus. If needed, the hernia will be repaired.
In some cases, the doctor may need to switch to an open surgery. He will make a wide incision in the abdomen to do the surgery.
How Long Will It Take?
How Much Will It Hurt?
You will have discomfort during recovery. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
Two days or more (depending on your condition)
It will take about two weeks to recover.
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
National Digestive Diseases Clearinghouse
The Society of American Gastrointestinal and Endoscopic Surgeons
The Canadian Association of Gastroenterology
EsophyX receives FDA clearance for performing trans oral incisionless fundoplication surgery. Medical News Today website. Available at: http://www.medicalnewstoday.com/articles/83410.php . Published September 24, 2007. Accessed August 19, 2009.
Society of American Gastrointestinal Endoscopic Surgeons website. Available at: http://www.sages.org/ .
The Society of Thoracic Surgeons website. Available at: http://www.sts.org... .
Transoral incisionless fundoplication with EsophyX. Endogastric Solutions website. Available at: http://www.endogastricsolutions.com/esophyx_for-pt.htm . Accessed August 19, 2009.
Treating GERD. Ohio State University Medical Center website. Available at: http://medicalcent... . Accessed August 19, 2009.
7/30/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/ : Niebisch S, Fleming F, Galey K, 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 September 2012
Last Updated: 09/26/2012