Fundoplication is a surgical procedure designed to treat gastroesophageal reflux disease (GERD) and hiatal hernias. It strengthens the lower esophageal sphincter (LES) to prevent stomach acid from flowing back into the esophagus, reducing symptoms like heartburn, regurgitation, and difficulty swallowing.
Types of Fundoplication Procedures
1. Nissen Fundoplication (360° Wrap)
The most common type
The stomach’s fundus is wrapped fully around the esophagus
Highly effective for severe GERD
2. Partial Fundoplication (Toupet/Dor – 270° or 180° Wrap)
Used for patients with esophageal motility disorders
Reduces the risk of post-surgery swallowing difficulties
Surgical Techniques
✔ Laparoscopic Fundoplication (Preferred Method)
Minimally invasive with small incisions (5-10mm)
Faster recovery (1-2 weeks)
Less post-op pain
Lower risk of complications
✔ Open Surgery (Traditional Approach)
Used in complex cases
Requires a larger abdominal incision
Longer hospital stay and recovery time
Benefits of Fundoplication
✅ 90% reduction in acid reflux symptoms
✅ Eliminates or reduces dependency on GERD medications
✅ Long-lasting results (10-15 years in most patients)
✅ Improves quality of life
✅ Treats hiatal hernia simultaneously
Who Needs Fundoplication?
Patients with GERD unresponsive to medication
Those with hiatal hernia complications
People suffering from chronic cough or asthma due to reflux
Cases of Barrett’s esophagus or esophageal strictures
Activity restrictions: Avoid heavy lifting for 4-6 weeks
Follow-up visits to monitor healing
Potential Side Effects
⚠ Temporary difficulty swallowing (resolves in weeks)
⚠ Gas bloating (inability to burp normally)
⚠ Rare complications: Infection, bleeding, or need for revision surgery
Long-Term Success Rates
📊 85-93% symptom relief
📊 90% patient satisfaction
📊 Reduced risk of esophageal damage from acid reflux
Is Fundoplication Right for You?
A thorough evaluation by a gastroenterologist or GI surgeon is required, including:
🔹 Endoscopy
🔹 Esophageal manometry (motility test)
🔹 24-hour pH monitoring
Key Takeaways
Laparoscopic fundoplication is the gold standard
Highly effective for GERD and hiatal hernias
Minimally invasive = faster recovery
Long-term relief from acid reflux
Consult a Specialist Today!
If you suffer from chronic GERD or hiatal hernia, fundoplication could be your solution. Schedule an evaluation with a GI surgeon to explore your options.
