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Gastroenterology

Antireflux Surgery (GERD)

Antireflux Surgery (GERD) is recommended to treat gastric acidity or reflux problems that not improve.

Antireflux Surgery (GERD)

The Nissen Fundoplication, also well known as Antireflux Surgery (GERD), is a surgical procedure usually used to treat gastroesophageal reflux diseases (GERD). In this process, the General Surgeon or Gastroenterologist wraps the stomach around the lower part of the esophagus to prevent acid from returning to the esophagus.



Before the Antireflux Surgery (GERD)

The General Surgeon or Gastroenterologist reviews the patient's medical history, asks questions about the patient's symptoms, lifestyle, medical history, and any medications the patient is taking.

Follow all instructions of your Advanced General Surgeon or Gastroenterologist. You should fast before the Surgery, meaning you should not eat or drink anything for 6 to 8 hours before the procedure.



During the Antireflux Surgery (GERD)

During the Antireflux surgery (GERD), the upper area of the stomach (fundus) is folded and the Advanced General Surgeon or Gastroenterologist stitches around the lower esophageal sphincter, a muscular valve located in the lower part of the esophagus. The purpose is to reinforce the lower esophageal sphincter, preventing the acid from returning to the esophagus.

If a hiatal hernia is present, it can be repaired during the Surgery. The Advanced General Surgeon or Gastroenterologist can also adjust the hiatus, the opening in the diaphragm through which the esophagus passes.



After the Antireflux Surgery (GERD)

After the Antireflux surgery (GERD), you will be moved to the recovery room where you can stay for a couple of hours, and the doctor can monitor and review your symptoms as the anesthesia wears off.

You can resume your activities after a few weeks. Follow your General Surgeon's or Gastroenterologist's instructions, take care to wash the wound area as instructed, and avoid strenuous physical activity.

You may experience some symptoms such as swelling or pain, and the Advanced General Surgeon or Gastroenterologist will prescribe medications to soothe the pain and inflammation, as well as recommend the use of compresses.



Why do I need Antireflux Surgery (GERD)?

Nissen fundoplication surgery is recommended to treat gastric acidity or reflux problems in the following scenarios:

  • There are no improvements in symptoms, even while taking medication.

  • You do not want to continue taking these medications.

  • More severe problems in the esophagus are present, such as scarring, ulcers, or bleeding.

  • Reflux disease is causing other conditions such as aspirational pneumonia, chronic cough, or hoarseness.

  • Conditions such as para-esophageal hernia are present, a condition where a part of the stomach is stuck in the chest or is twisted.


At BlueNetHospitals, we have an expert team in Advanced General Surgery or Gastroenterology that can support you throughout the process, before, during, and after surgery. Click here to book an appointment.


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