Praveen from Houston Asked us this question this past week: I’m 32-year-old and I have been suffering from GERD for almost 2 years now. I am considering the Nissen fundoplication to control my acid reflux. I don’t want to have multiple major surgeries, especially when...
John sent this question to Houston Heartburn this past week: “I had a 190-200 partial fundoplication and small hiatal hernia repair on 12/11/17. I am still suffering with GERD related symptoms. How do I go about getting a revision into s 270 or 360...
Nissen fundoplication surgery, when PROPERLY done, is the most reliable, safest, and most effective treatment for GERD. Any fundoplication surgery is performed with a concomitant hiatal hernia repair. The purpose of a hiatal hernia repair is not to simply close the hiatal opening, but rather...
In his seminal paper, “A Stomach Road or Magenstrasse for Gastric Emptying”, James Brasseur concludes that the coordination of contractile waves between gastric fundus and antrum determines the magnitude of the Magenstrasse. Surgical manipulation of gastric fundus in the form of Nissen fundoplication alters antral...
I read with great interest the newly published article titled “Comparative Analysis of Perioperative Outcomes and Costs Between Laparoscopic and Open Anti-reflux Surgery” in the journal of the American College of Surgeons by Patti el al. This is a retrospective study based on the National...
There is widespread belief that hiatal hernia repair and Nissen fundoplication are a last resort for GERD patients. Indeed, most primary care physicians and gastroenterologists do not refer a GERD patient for surgery until it is too late. GERD patients are typically subjected to escalating...
The 360-degree fundoplication or Nissen fundoplication, the most reliable treatment for GERD, is named after Dr. Rudolf Nissen. A German surgeon with great power of observation and astute judgment. In 1936, he treated an advanced case of acid reflux disease in a 28-year-old man with...
Nissen fundoplication is currently the gold standard treatment for GERD. A floppy and short 360 degree wrap around the distal esophagus is the most durable and reliable solution to stop reflux of gastric content into the esophagus. The Toupet fundoplication or 270-degree wrap is equally...
“Long-term outcomes of patients receiving a magnetic sphincter augmentation device for gastroesophageal reflux” is a recent article published in the current issue of Clinical gastroenterology and Hepatology. The study is prospective in nature and includes 100 patients with GERD for at least 6 months and...
I read with great interest the recent article by Maret-Ouda et al: “Mortality from laparoscopic anti-reflux surgery in a nationwide cohort of the working-age population” that was recently published in the British Journal of Surgery. The purpose of this population-based analysis was to demonstrate the...