What is Anti-Reflux Surgery?

Fundoplication is a procedure used to relieve Gastro-Esophageal Reflux Disease (GERD) and its associated symptoms of heartburn and regurgitation of acid stomach contents.

The operation involves repairing any hiatus hernia which might be present, and then using part of the upper stomach (fundus), to wrap around the lower part of the oesophagus.

This creates a ‘valve between the oesophagus and the stomach, to prevent acid from the stomach refluxing into the oesophagus.

Type of Fundoplication

The type of fundoplication is determined by the amount of degrees the stomach is wrapped around the oesophagus:

  • Nissen=3600
  • Partial=900
  • Posterior=2700
  • Anterior=1800.

Your surgeon will determine which fundoplication will be appropriate for your condition.

Laparoscopic Fundoplication

Laparoscopic method- 5 very small incisions are made. A Laparoscope is inserted through the incisions. This method takes approximately 1- 2 hours to complete.

Preparation required for Fundoplication?

  • Do not eat or drink 6 hours prior to surgery
  • Removed all jewellery and nail polish prior to attending hospital
  • If you are taking blood thinning tablets or have Diabetes:
  • The doctor organizing the procedure should have given you special instructions
  • You will need to cease Warfarin or Aspirin 7 days prior to your procedure
  • If you have not received instructions please contact us

Length of stay in hospital?

Laparoscopic method can take 2-3 days

Complications and risks?

Most patients have a good result from the fundoplication without any complications. However a small number of patients who have the laparoscopic method may develop problems due to the wrap being too tight, the wrap slipping into the chest, or the wrap coming ‘undone’, this is rare. Some complications of the open method can be; an infection of the wound, delay in healing, chest infection and blood clots in the legs.

What happens after fundoplication?

  • You may feel nauseated
  • Pain relief will be organized as required
  • A Barium Swallow may be performed the day after surgery to confirm the changes
  • Diet-soft and blended foods for 3 months after surgery; You should chew food thoroughly and eat more slowly to give the food time to go down the oesophagus.
  • Avoid heavy lifting or straining for 6-8 weeks after surgery
  • Sutures-absorbable buried sutures are often used which do not need removal. Occasional staples are used which do require removal.
  • You must have a responsible adult escort you home