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 the risk 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 1 week before the procedure.
- 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
- 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 Institute of Diabetes and Digestive and Kidney Diseases 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
Fundoplication (lap Nissen). MUSC Health Digestive Disease Center website. Available at: http://www.ddc.musc.edu/surgery/surgeries/laparoscopic/fundoplication.cfm. Accessed December 1, 2014.
Gastroesophageal reflux disease (heartburn). 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 1, 2014.
7/30/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Niebisch S, Fleming F, 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: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -