Anti-Reflux Surgery (Fundoplication)

What is Anti-Reflux Surgery (Fundoplication)?

Anti-reflux surgery, commonly known as fundoplication, is a procedure designed to treat gastroesophageal reflux disease (GERD). GERD occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort. Fundoplication helps reinforce the lower esophageal sphincter (LES), which acts as a barrier to prevent acid reflux. The procedure is typically performed laparoscopically, resulting in minimal scarring and a quicker recovery.

When is Fundoplication Needed?

Fundoplication is generally recommended for patients who experience severe GERD symptoms that do not improve with lifestyle changes or medications. Candidates for surgery often include those who suffer from chronic heartburn, regurgitation, difficulty swallowing, or complications like esophagitis, Barrett’s esophagus, or hiatal hernias. Patients who prefer to avoid long-term medication use may also benefit from this surgery.

Provedure Overview

During a fundoplication, the surgeon wraps the top of the stomach (fundus) around the lower esophagus. This strengthens the LES, preventing stomach acid from flowing back into the esophagus. The procedure is usually performed laparoscopically, involving several small incisions through which a camera and surgical instruments are inserted. The surgery typically takes between 2-3 hours and is performed under general anesthesia.

Recovery and Results

Most patients recover within a few weeks after fundoplication. Immediately following surgery, a liquid diet is usually recommended before gradually reintroducing soft and solid foods. Pain can be managed with over-the-counter or prescription medications, and patients are encouraged to avoid strenuous activities until cleared by their surgeon.

Pain Management: Medications can help relieve discomfort during recovery.

Dietary Adjustments: A transition from a liquid diet to solid foods helps the body adjust to the repaired LES.

Activity Restrictions: Avoid heavy lifting or vigorous activities for a few weeks post-surgery.

What Happens If Left Untreated?

If GERD is left untreated, it can lead to complications such as esophagitis (inflammation of the esophagus), Barrett’s esophagus (a precancerous condition), strictures (narrowing of the esophagus), or even esophageal cancer. Additionally, the symptoms of GERD can significantly affect quality of life by causing discomfort, sleep disturbances, and difficulty eating.

Schedule a Consultation

If you’re experiencing persistent symptoms of GERD that haven’t improved with non-surgical treatments, fundoplication may be an effective solution. Schedule a consultation with Texas Advanced Surgical & Bariatrics to learn more about your treatment options.

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