Fundoplication -- Endoscopic Surgery
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Reasons for Procedure
- Eliminate gastroesophageal reflux disease (GERD) symptoms that are not relieved by medication
- Reduce acid reflux that is contributing to asthma symptoms
- Repair a hiatal hernia, which may be responsible for making GERD symptoms worse
- Reduce of serious, long-term complications resulting from too much acid in the esophagus
- Difficulty swallowing
- Return of reflux symptoms
- Limited ability to burp or vomit
- Gas pains
- Damage to organs
- Anesthesia-related problems
What to Expect
Prior to Procedure
- Physical exam
- X-ray with contrast—to assess the level of reflux and evidence of damage
- Endoscopy —use of a tube attached to a viewing device called an endoscope to examine the inside of the lining of the esophagus and stomach; a biopsy may also be taken
- Manometry—a test to measure the muscular contractions inside the esophagus and its response to swallowing
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs
- Blood thinners
- Arrange for a ride to and from the hospital. Also, arrange for help at home.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Walk with assistance the day after surgery.
- You will start by eating a liquid diet. You will slowly be able to eat more solid foods.
- After a successful fundoplication, you may no longer need to take medications for GERD.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Call Your Doctor
- Signs of infection, including fever and chills
- Persistent nausea and/or vomiting
- Increased swelling or pain in the abdomen
- Difficulty swallowing that does not improve
- Pain that you cannot control with the medications you have been given
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Cough, shortness of breath or chest pain
- Any other new symptoms
National Digestive Diseases Clearinghouse http://digestive.niddk.nih.gov
Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
Endoscopoic transoral incisionless fundoplication (TIF) or Esophyx. Medical College of Wisconsin website. Available at: http://www.mcw.edu/generalsurgery/patientinfo/Foregut-Surgery-Program/Reflux-Disease/TIF.htm. Accessed December 9, 2013.
Fundoplication (lap Nissen). MUSC Health Digestive Disease Center website. Available at: http://www.ddc.musc.edu/surgery/surgeries/laparoscopic/fundoplication.cfm. Updated April 30, 2013. Accessed December 9, 2013.
Treating GERD. Ohio State University Medical Center website. Available at: http://medicalcenter.osu.edu/patientcare/healthcare%5Fservices/digestive%5Fdisorders/gerd%5Fheartburn/diagnosing%5Ftreating%5Fgerd/treating%5Fgerd/Pages/index.aspx. Accessed December 9, 2013.
- Reviewer: Daus Mahnke, MD; Michael Woods, MD
- Review Date: 12/2013 -
- Update Date: 01/22/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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