Fundoplication -- Laparoscopic 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
- Anesthesia-related problems
- Difficulty swallowing
- Return of reflux symptoms
- Limited ability to burp or vomit
- Gas pains
- Damage to other organs
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 such as ibuprofen and naproxen
- Blood thinners
- Anti-platelet medications
- 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.
- Keep the incision area clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- 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.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medications you were given after surgery, or which persist for more than two days after discharge from the hospital
- 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
The Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org
The Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
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.
7/30/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Niebisch S, Fleming F, Galey K, et al. Perioperative risk of laparoscopic fundoplication: safer than previously reported—analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009. American College of Surgeons. 2012(215);61-68.
- Reviewer: Marcin Chwistek, MD; Michael Woods, MD
- Review Date: 12/2013 -
- Update Date: 12/09/2013 -