The Nissen Fundoplication is the “gold standard” surgical procedure that is most commonly used to treat reflux. The procedure has been used since 1951 and has been very successful.
The surgery is performed under general anesthesia via five tiny incisions. This results in minimal postoperative pain, prompt recovery and fast return to normal daily activities. This surgery is performed, as an outpatient procedure, and full activity is possible in one week.
The procedure involves repairing the hiatal hernia; a defect in the diaphragm (breathing muscle) that weakens the lower esophageal sphincter. The next step involves wrapping the upper part of the stomach (fundus) around the base of the esophagus. This reinforces the lower esophageal sphincter and helps it to function normally. Nissen surgery stops reflux with reliability above all other existing therapies.
Studies have shown that up to 90% of reflux patients treated with the Laparoscopic Nissen Fundoplication, by an experienced surgeon, have complete resolution of their GERD related symptoms. The latest guidelines from the American College of Gastroenterology indicate that in appropriately selected patients, laparoscopic reflux surgery is more cost effective than lifelong medical treatment. Side effects may include abdominal fullness due to sensation of intestinal gas, as well as the inability to belch or vomit.
Download a case study presentation by Dr. Elias Darido
Is Nissen Fundoplication surgery appropriate for you?
At Houston Heartburn and Reflux Center, each patient receives a thorough evaluation for heartburn and acid reflux. Depending on your reflux stage, Dr. Darido will recommend the appropriate treatment that suits you best. Reflux disease is a chronic and progressive condition and treatment is tailored accordingly. With each procedure, the desired outcome must be balanced with risks, side effects, and durability.
Nissen surgery may be appropriate for you. If you suffer from heartburn, acid reflux or GERD, please request a consultation.