Fundoplication surgery is a procedure used to treat chronic gastroesophageal reflux disease (GERD). It involves wrapping the upper part of the stomach (the fundus) around the lower end of the esophagus. This creates a tighter valve mechanism to prevent acid from the stomach from flowing back into the esophagus, effectively reducing acid reflux and related symptoms.
There are several variations of fundoplication, including the Nissen (360-degree wrap around the esophagus), Toupet (270-degree partial posterior wrap), and Dor (anterior 180–200-degree wrap). The type of procedure chosen depends on the patient’s anatomy, esophageal motility, GERD severity, and the surgeon’s recommendation. Each has specific advantages in balancing reflux control with preserving swallowing function.
Fundoplication is usually required when GERD is caused by factors like a weakened lower esophageal sphincter, obesity, hiatal hernia, delayed gastric emptying, or esophageal motility disorders. These conditions allow acid to flow back into the esophagus frequently. Surgery helps prevent this reflux by reinforcing the valve mechanism between the stomach and esophagus.
Patients who experience frequent or persistent symptoms like heartburn, regurgitation, chest discomfort, difficulty swallowing, chronic cough, asthma-like symptoms, or sore throat that don’t improve with medications may require surgical intervention. When GERD becomes unmanageable through lifestyle changes and drugs, fundoplication may be recommended to restore quality of life and protect the esophagus.
To determine if a patient is a candidate for fundoplication, doctors perform diagnostic tests including upper endoscopy to examine esophageal lining, 24-hour pH monitoring to measure acid exposure, manometry to assess esophageal muscle function, and a barium swallow to visualize reflux and esophageal movement. These tests help confirm GERD severity and suitability for surgery.
Fundoplication is typically performed laparoscopically under general anesthesia. The surgeon makes small incisions and uses specialized tools to wrap the stomach around the esophagus and tighten the lower esophageal sphincter. This minimally invasive method reduces recovery time, minimizes postoperative pain, and enables most patients to return home within a day or two post-surgery.
If acid reflux symptoms persist despite medication, it may be time to consult a specialist.
Continuous heartburn, especially after eating or lying down, signals chronic GERD needing medical attention.
Feeling of food stuck in the chest or throat can be a serious sign.
Acid reflux can irritate the throat and vocal cords, causing a lasting cough.
The sensation of acid or food coming back into the mouth is a warning.
If lifestyle changes and medications aren’t working, surgery might be a solution.
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I no longer rely on medication. mediSuggest truly changed my life.
Sunita Nair Fundoplication Surgery
I was back to work in no time! Great care and regular follow-ups.
Karan Bansal Fundoplication Surgery
Highly skilled surgeon and modern hospital. I’m so glad I trusted mediSuggest.
Neeta Desai Fundoplication Surgery
I was hesitant, but mediSuggest guided me throughout. Best decision ever.
Anil Reddy Fundoplication Surgery
From booking to surgery, the mediSuggest team supported me completely. I’m eating better and sleeping well now.
Priya Sharma Fundoplication Surgery
After years of acid reflux, I finally feel relief. Thank you, mediSuggest, for making this surgery stress-free.
Rahul Mehta Fundoplication Surgery
It is used to treat GERD or chronic acid reflux by tightening the lower esophageal sphincter and preventing stomach acid from rising.
The surgery usually takes 1 to 2 hours and is done under general anesthesia using laparoscopic techniques.
Patients may feel mild discomfort post-surgery, but pain is usually manageable with medications and subsides in a few days.
Most patients resume normal activities within 1–2 weeks, with full recovery in 4–6 weeks depending on individual health.
Risks include bloating, difficulty swallowing, or recurrence of symptoms, but these are rare when surgery is done by experienced doctors.
