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. 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 to:
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.
2 days or more, depending on your condition
After surgery, you can expect the following:
It will take about 2 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 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
Gastroesophageal reflux disease. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T116914/Gastroesophageal-reflux-disease-GERD. Updated December 4, 2017. Accessed January 10, 2018.
Gastroesophageal reflux disease (heartburn). The Ohio State University Wexner Medical Center website. Available at: https://wexnermedical.osu.edu/digestive-diseases/heartburn. Accessed January 10, 2018.
Hiatal hernia. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T116557/Hiatal-hernia. Updated January 2, 2017. Accessed January 10, 2018.
Nissen fundoplication. MUSC Health Digestive Disease Center website. Available at: http://ddc.musc.edu/public/surgery/laparoscopic/fundoplication.html. Accessed January 10, 2018.
7/30/2012 DynaMed's Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T116914/Gastroesophageal-reflux-disease-GERD: Niebisch S, Fleming F, Galey KM, 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. J Am Coll Surg. 2012;215(1);61-68.
Last reviewed November 2018 by EBSCO Medical Review Board Daus Mahnke, MD