During this surgery, our surgeons wraps the top of the stomach around the lower esophagus. This reinforces the valve between the esophagus and stomach (lower esophageal sphincter), which stops acid from backing up into the esophagus as easily. This allows the esophagus to heal.
This procedure is often done using a laparoscopic surgical technique with five very small incisions. Outcomes of the laparoscopic technique result in a quicker recovery and healing, less discomfort and shorter hospital stay.
This procedure is sometimes done through the abdomen or the chest. The chest approach (open approach) may be used if a person is severely overweight or has a short esophagus. Our surgeons are experienced laparoscopic surgeons and rarely encounter circumstance where they are forced to proceed with this second alternative
The steps of the operation are as follows:
The opening in the diaphragm (crural opening) is identified and then closed.
The fundus (upper part of the stomach) is then wrapped around the lower portion of the esophagus.
The fundoplication is formed by suturing the stomach around the esophagus.
The finished procedure with the complete wrap of the stomach around the esophagus.