Nissen Fundoplication Durability

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...

Slipped Nissen Fundoplication

Slipped Nissen Fundoplication: Why Do We Still See It?

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...

Does Nissen Fundoplication Affect the Magenstrasse

Does Nissen Fundoplication Affect the Magenstrasse?

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...

Laparoscopic vs Open GERD Surgery

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...

The History of Nissen Fundoplication: What Can We Learn?

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...

Toupet or Nissen Fundoplication for GERD Treatment?

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...

Nissen Procedure Houston Heartburn

The Nissen Fundoplication: A Reliable Cure For Acid Reflux

“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...