Nissen Fundoplication

Nissen Fundoplication is a surgical procedure primarily used to treat gastroesophageal reflux disease (GERD) or severe cases of heartburn and acid reflux. During this surgery, the upper part of the stomach is wrapped around the lower esophagus to strengthen the lower esophageal sphincter (LES) and prevent stomach acid from flowing back into the esophagus. The procedure is usually performed laparoscopically, involving small incisions in the abdomen through which specialized surgical instruments are inserted. The surgeon carefully wraps the upper portion of the stomach, creating a valve-like structure that reinforces the weakened LES. Nissen Fundoplication aims to alleviate symptoms of GERD such as heartburn, regurgitation, and difficulty swallowing by reducing the reflux of stomach acid into the esophagus. It helps restore the natural barrier that prevents acid from moving upwards, thus reducing or eliminating the need for medications that control acid production. Although generally effective, complications like difficulty in burping, bloating, or inability to vomit might occur due to the increased pressure in the stomach post-surgery. Patients typically need to follow dietary and lifestyle changes post-operation and may experience temporary discomfort or difficulty swallowing immediately after the surgery. It's crucial for individuals considering this procedure to discuss its risks, benefits, and long-term outcomes thoroughly with their healthcare provider to make an informed decision about their treatment for GERD.