Fundoplication -- Open Surgery

Fundoplication is surgery to wrap upper stomach around the lower esophagus. It reduces the amount of acid that enters the esophagus from the stomach.

  • Call Your Doctor


    After you leave the hospital, contact your doctor if any of the following occurs:

    • Signs of infection, including fever and chills
    • Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
    • Nausea and/or vomiting that you cannot control with the medications you were given after surgery, or which persist for more than two days after discharge from the hospital
    • Increased swelling or pain in the abdomen
    • Difficulty swallowing that does not improve
    • Pain that you cannot control with the medications you have been given
    • Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
    • Cough, shortness of breath, or chest pain
    • Any other new symptoms

    In case of an emergency, call for medical help right away.

  • Definition


    Fundoplication is surgery to wrap upper stomach around the lower esophagus. It reduces the amount of acid that enters the esophagus from the stomach.

    Fundoplication
    Fundoplication
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  • What to Expect

  • Reasons for Procedure


    The surgery is most often done for the following reasons:

    • Eliminate gastroesophageal reflux disease (GERD) symptoms that are not relieved by medication

    • Reduce acid reflux that is contributing to
      asthma
      symptoms
    • Repair a hiatal hernia, which may be responsible for making GERD symptoms worse
    • Reduce of serious, long-term complications resulting from too much acid in the esophagus

  • Possible Complications


    If you are planning to have fundoplication, your doctor will review a list of possible complications, which may include:

    • Infection
    • Bleeding
    • Difficulty swallowing
    • Return of reflux symptoms
    • Limited ability to burp or vomit
    • Gas pains
    • Damage to organs
    • Anesthesia-related problems

    In rare cases, the procedure may need to be repeated. This may happen if the wrap was too tight, the wrap slips, or if a new hernia forms.


    Some factors that may increase the risk of complications include:

    • Pre-existing heart or lung condition
    • Obesity
    • Smoking
    • Diabetes
    • Prior upper abdominal surgery