Surgery for Gastroesophageal Reflux Disease (GERD) may involve a procedure to reinforce the lower esophageal sphincter known as laparoscopic Nissen fundoplication.
A minimally invasive surgery, laparoscopic Nissen fundoplication is performed through five quarter-inch incisions through which a camera and four instruments are placed. A new lower esophageal valve is constructed by wrapping a two-centimeter portion of the stomach around the lower-most portion of the esophagus. This collar is then anchored to the tough fibers of the diaphragm (the respiratory muscle separating the chest from the abdomen). The procedure typically lasts from forty-five minutes to one-and-a-half hours.
Laparoscopic Nissen fundoplication patients are started on clear liquids the morning after the procedure and discharged in the afternoon. They can return to activities within 2-7 days report less frequent wound infections and less pain. Most importantly, greater than 90% of patients are symptom-free 10 years after the procedure.
Laparoscopic Nissen fundoplication is a viable option for GERD treatment after failure of lifestyle changes, sufficient attempts at medical management, or prolonged medical management. Another safe and effective treatment alternative is the LINX® Reflux Management System.
Discuss with your doctor the many treatment options available for GERD and other swallowing disorders. To schedule an appointment with our Summa Health medical and surgical specialists, call 330.761.1111.