Nissen Fundoplication

Gastroesophageal Reflux Disease (GERD) Surgery Overview

Gastroesophageal reflux disease (GERD) can significantly impact daily life, causing discomfort and affecting overall well-being. The first symptom of gastric reflux is often heartburn and acid indigestion. Over time, issues with the lower esophageal sphincter can lead to gastroesophageal reflux disease. GERD occurs when stomach acid frequently flows back into the esophagus, causing irritation and inflammation, which can range from mild to severe. 

Nissen Fundoplication is a surgical procedure designed to address the root cause of GERD, providing long-term relief for individuals struggling with persistent reflux symptoms.

GERD can be treated with medication, such as antacids, proton pump inhibitors, and H2 blockers, but patients may be interested in the more permanent solution offered by surgical therapy. 

This anti-reflux surgery involves wrapping the stomach around the lower end of the esophagus, through a minimally invasive laparoscopic surgery, with a success rate of 92% in getting patients off of medication. Patients spend 1 night under our care at our private general surgery clinic in Montreal and require a minimum convalescence of 2 weeks. Consult our general surgery guidelines to learn more. 

Common Symptoms indicating the need for laparoscopic antireflux surgery include:

• Chronic heartburn

• Regurgitation

• Difficulty swallowing

• Chronic cough

• Chest pain

• Hoarseness or sore throat

Advantages and Disadvantages

Advantages

• Long-Term Relief

• Improved Quality of Life

Disadvantages

• Potential for Gas & Bloating

Risks

Risks of Surgery

• Difficulty Swallowing: A small percentage of patients may experience difficulty swallowing, usually a temporary side effect.

• Gas & Bloating: Excessive gas and bloating may occur due to altered mechanics of the stomach.