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GERD Surgery

Page 1
GERD stands for GastroEsophageal Reflux Disease

Surgical Treatments Available

Most people can get sufficient relief from lifestyle changes and medical therapy and do not require surgery. If symptoms are severe, or there are complications and medical treatment does not help, your doctor may recommend surgery.



Nissen Fundoplication
Pronunciation: (NIH-sun FUN-doh-plih-KAY-shun)

Nissen fundoplication was developed and named after a German Surgeon, Rudolf Nissen, born 1896. Nissen Fundoplication surgery is an operation for gastroesophageal reflux disease (GERD) that wraps the upper part of the stomach (fundus) around the esophagus in order to prevent reflux. This surgery strengthens the valve called the lower esophageal sphincter (LES) between the esophagus and the stomach.

GERD

This operation is done either by traditional open surgery or by laparoscopic surgery. Fundoplication surgery using a laparoscopic technique is being done more often. When choosing a surgeon to do your surgery, the surgeon's experience is the most important consideration. Before choosing your surgeon, find out the number of these procedures he or she has performed and the success rate of those surgeries. If you are considering the surgery, you may want to consult a gastroenterologist (a doctor who specializes in digestive diseases) to evaluate your GERD symptoms or to get an opinion on whether surgery is necessary.

Open Fundoplication Procedure
This is called an open procedure because it requires wide surgical incisions. With this procedure, the physician wraps the upper part of the stomach (fundus) completely around the esophagus to form a collar like structure. The collar places pressure on the lower esophageal sphincter (LES) and prevents stomach fluids from backing up in to the esophagus. Open fundoplication requires wide surgical incisions and a 6 to 10 day hospital stay.

Glossary For This Page
Gastroesophageal Reflux Disease (GERD)
Pronounced - GAH-stroh-eh-SAW-fuh-JEE-ul REE-fluks duh-zeez
Flow of the stomach's contents back up into the esophagus. Happens when the muscle between the esophagus and the stomach (the lower esophageal sphincter) is weak or relaxes when it shouldn't. May cause esophagitis. Also called esophageal reflux or reflux esophagitis.

Esophagus
Pronounced - eh-SAW-fuh-gus
Also spelled oesophagus. The organ that connects the mouth to the stomach. Also called gullet.

Lower Esophageal Sphincter (LES)
Pronounced - LOH-wur uh-saw-fuh-JEE-ul SFEENK-tur
The muscle between the esophagus and stomach. When a person swallows, this muscle relaxes to let food pass from the esophagus to the stomach. It stays closed at other times to keep stomach contents from flowing back into the esophagus.

Page 1 GERD Surgery
Page 2 GERD Surgery
Page 3 GERD Surgery
Page 4 GERD Surgery - Risks

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