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GERD Surgery

Page 4
GERD stands for GastroEsophageal Reflux Disease

Surgical Treatments Available

Risks or Complications Following Fundoplication Surgery Include
  • Difficulty swallowing because the stomach is wrapped too high on the esophagus or is wrapped too tightly. This complication may be more likely to occur in people who receive fundoplication surgery using a laparoscopic surgical technique.
  • The esophagus slides out of the wrapped portion of the stomach so that valve (lower esophageal sphincter) is no longer supported.
  • Heartburn comes back (relapse of reflux).
  • Bloating and discomfort from gas buildup because the person is not able to burp.
  • Excess gas (flatulence).
  • Risks associated with anesthesia and major surgery (infection, bleeding, and breathing problems from the anesthetic). About 1 in 500 people (0.2%) who have this surgery die from anesthesia or complications from the surgery.


For some people, the side effects of surgery (bloating caused by gas buildup, swallowing problems, pain at the surgical site) are as bothersome as GERD symptoms. The fundoplication procedure cannot be reversed, and in some cases it may not be possible to relieve the symptoms of these complications, even with a second surgery. Second surgeries are more difficult to do, less successful, and more risky. Therefore, it is extremely important that the first procedure be considered carefully, and be done by an experienced surgeon who is more likely to be successful the first time.

When fundoplication surgery is successful, it eliminates the need for long term drug treatment. When trying to decide between surgery and drug treatment, weigh the cost, risks and potential complications of the surgery and the possible risk of complications against the cost and inconvenience of long term (often lifetime) drug therapy.

Patients should discuss surgery very carefully with both a surgeon and medical physician.

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

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