In most cases, fundoplication is performed to correct gastroesophageal reflux. The upper portion of the stomach (fundus) is wrapped around the lower part of the esophagus. This is usually a complete plication or wrap, often called a Nissen fundoplication, although specific individuals may only require a partial one. The wrap restores the natural anti-reflux barrier, thereby preventing esophageal acid exposure. The procedure is effective in avoiding reflux and provides long-term relief of symptoms.
This procedure is now routinely performed laparoscopically or robotically, using several small incisions instead of one large incision. This allows less pain, minor scars, and a quicker recovery. Most patients can go home the following day after surgery and return to normal activities over the next 1-2 weeks.
There are now numerous published articles showing surgery to be superior to medication in treating gastroesophageal reflux disease. Surgery has been indicated to provide long-term relief of symptoms in approximately 96% of patients. We will be happy to talk to you further to see if you are a candidate for a laparoscopic/robotic fundoplication for reflux disease.
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Dr. Sumit Talwar is practicing Upper GI Surgery for more than 25 years and has performed thousands of operations successfully.