Fundoplication

Fundoplication is a surgical procedure performed to treat gastroesophageal reflux. Gastroesophageal reflux disease (GERD) is a condition in which stomach contents, including acid, move up the esophagus and cause various symptoms such as heartburn, acid belching and chest discomfort.

Fundoplication is a procedure in which the fundus of the stomach is wrapped around the lower esophagus, creating a cuff that secures the lower esophagus, thereby preventing stomach acid from rising up. The formed cuff is brought into the mediastinum.

Most often, fundoplication is performed using the method proposed by the Swiss surgeon Rudolf Nissen. In this procedure, the surgeon makes a small incision in the patient's abdomen and uses special instruments to wrap the fundus of the stomach around the lower esophagus. The surgeon then sutures the wrapped tissue, creating a cuff around the esophagus.

Fundoplication can be performed either by open surgery or laparoscopically. Laparoscopic fundoplication is a more minimally invasive approach that usually results in faster recovery and fewer complications after surgery.

Although fundoplication is considered a relatively safe procedure, it can also have its risks and limitations. Patients who require a fundoplication should discuss all their questions and concerns with their surgeon to make an informed decision about whether this procedure is right for them.

Overall, fundoplication is an effective treatment for gastroesophageal reflux that can help patients cope with the unpleasant symptoms associated with this condition.

Fundoplication is a surgical procedure performed for gastroesophageal reflux. The essence of the operation is that the fundus of the stomach is wrapped around the lower esophagus, forming a cuff. In this case, both walls of the stomach and esophagus are captured in the sutures. The formed cuff is brought into the mediastinum.

Most often, fundoplication is performed using the technique proposed by the Swiss surgeon Rudolf Nissen. In this case, the upper part of the stomach completely covers the lower esophagus. This helps strengthen the lower esophageal sphincter, prevent the reflux of stomach contents into the esophagus and reduce the symptoms of gastroesophageal reflux.

Nissen fundoplication is the most common version of this operation. It can be performed either open or laparoscopically. The indication for fundoplication is severe gastroesophageal reflux that is not amenable to conservative treatment.

Fundoplication (Fundoplication - from Latin fundus - bottom and Latin plies - wrapping) is a surgical operation for gastroesophageal reflux (GERD), which consists in wrapping the bottom (antrum) of the stomach around the lower esophagus. As a result, a cuff is formed, which captures both walls of the stomach and esophagus in the sutures. The resulting cuff is removed through the mediastinum.

The operation was proposed in 1956 by the Swiss surgeon R. Nissen, who proposed it for the treatment of GERD. It involves wrapping the fundus of the stomach around the esophagus and securing it to the diaphragm. This creates a barrier that prevents stomach contents from flowing back into the esophagus and oral cavity.

Fundoplication can be performed in various ways, but the most common is the method proposed by R. Nissen and his colleagues. This method is as follows:

1. The fundus of the stomach and lower esophagus are fixed to the diaphragm using sutures.
2. The cuff formed around the esophagus is brought out through the mediastinum into the chest cavity.
3. After the operation, the patient remains in the hospital under the supervision of doctors for several days.
4. After discharge from the hospital, the patient is advised to follow a diet and take medications to prevent GERD for several months.

Currently, fundoplication is one of the most effective treatments for GERD and is often used as an alternative to other treatments such as endoscopic balloon dilatation of the esophagus or laser surgery. However, like any other operation, fundoplication has its own risks and complications, so before undergoing it, you must undergo a full examination and consult with your doctor.