Fundoplications
What is a fundoplication?
The fundoplication is a surgical treatment that is aimed to prevent acid reflux by reinforcing a weak lower esophageal sphincter using tissue from the patient’s own stomach. This surgery is performed on patients who have been diagnosed with gastroesophageal reflux disease (GERD). During the procedure, the upper portion of the stomach is completely wrapped (plicated) around the bottom of the lower esophagus, and then it is stitched into place to create a strong barrier that prevents stomach acid from backing up into the esophagus. This keeps the acid in the stomach from entering the esophagus. Fundoplications can be complete or partial. A complete or 360 degree fundoplication is referred to as a Nissen fundoplication. Various partial fundoplications ranging from 90 degrees to 270 degrees are utilized depending on a patients workup and needs. Fundoplications are performed robotically or laparoscopically requiring 5 small incisions. The decision on what type of antireflux surgery is recommended is dependent on each patients workup, anatomy and severity of disease.

