Fundoplication Surgery: An In-Depth Guide

What is Fundoplication Surgery?

Fundoplication surgery is a surgical procedure performed to treat gastroesophageal reflux disease (GERD) and a hiatal hernia. GERD occurs when stomach acid flows back into the esophagus, causing symptoms such as heartburn, regurgitation, and nausea. A hiatal hernia occurs when the stomach protrudes through an opening in the diaphragm.

How is Fundoplication Surgery Performed?

Fundoplication surgery is typically performed laparoscopically, using several small incisions in the abdomen. During the procedure, the surgeon wraps the upper part of the stomach around the lower part of the esophagus, creating a valve that prevents stomach acid from flowing back into the esophagus. The surgeon may also repair the hiatal hernia if present.

Types of Fundoplication Surgery

There are two main types of fundoplication surgery:

• Nissen fundoplication: This is the most common type of fundoplication surgery. The surgeon wraps the stomach completely around the esophagus, creating a tight valve.
• Toupet fundoplication: This type of fundoplication surgery is less common. The surgeon wraps the stomach partially around the esophagus, creating a looser valve.

Benefits of Fundoplication Surgery

Fundoplication surgery can effectively relieve the symptoms of GERD and a hiatal hernia. Benefits of the surgery include:

• Reduced heartburn and regurgitation
• Improved sleep quality
• Reduced need for medication
• Improved quality of life

Risks of Fundoplication Surgery

As with any surgery, there are some risks associated with fundoplication surgery. These risks include:

• Bleeding
• Infection
• Damage to the esophagus or stomach
• Difficulty swallowing
• Gas bloat

Who is a Candidate for Fundoplication Surgery?

Fundoplication surgery is an option for people who have severe GERD or a hiatal hernia that does not respond to medication or lifestyle changes. Candidates for surgery typically have:

• Frequent heartburn or regurgitation
• Erosive esophagitis (inflammation of the esophagus)
• A hiatal hernia that is causing symptoms
• Failed medical therapy

Recovery from Fundoplication Surgery

Recovery from fundoplication surgery typically takes several weeks. During this time, it is important to follow the doctor's instructions and avoid strenuous activity. Most people can return to normal activities within 4 to 6 weeks.

Conclusion

Fundoplication surgery is a safe and effective treatment for GERD and a hiatal hernia. The surgery can significantly improve the quality of life for people who suffer from these conditions.