Also known as: fundoplication surgery, anti-reflux surgery.

What is fundoplication?

Fundoplication is a surgical procedure used to treat GERD (gastroesophageal reflux disease). It may be an option in severe cases of reflux, or when other treatment methods have been unsuccessful at solving the problem.

What happens during the procedure?

The surgery is performed under general anesthesia. It may be done as an open surgery or with a laparoscope. If a hiatal hernia is present, the surgeon will repair this first by stitching the hernia closed. Then the upper part of the stomach is wrapped around the esophagus and connected with stitches. This prevents stomach acid from flowing into the esophagus.

Is any special preparation needed?

The patient will be examined in conjunction with a gastroenterologist to assess the degree of reflux. It may be necessary to perform such tests as an endoscopy, contrast studies of the esophagus and stomach as well as other more case specific tests.

The operation is always performed under general anesthesia which requires a set fasting time prior to surgery.

What are the risk factors?

Infection, bleeding, injury to surrounding organs and tissues, gas bloat (the feeling one needs to burp but cannot), pain, difficulty swallowing, recurrence of the reflux and breathing problems are potential risks of fundoplication.

What is the recovery like?

Recovery takes a few days in the hospital and soft foods are preferred in the first few weeks. After laparoscopic fundoplications patients are able to resume all previous activities with three to five days.

Reviewed by: Leopoldo Malvezzi, MD

This page was last updated on: March 11, 2020 03:57 PM