Antireflux Surgery

Antireflux surgery, also known as fundoplication, is a surgical procedure used to treat gastro-oesophageal reflux disease (GORD). It aims to strengthen the barrier between the stomach and the oesophagus, preventing stomach acid and contents from flowing back into the oesophagus. The surgery is typically recommended when other treatments, such as medication, have not been successful or have side affects which cannot be tolerated.

· What it does:

Antireflux surgery, specifically fundoplication, involves wrapping the upper part of the stomach (fundus) around the lower end of the oesophagus. This creates a tighter seal, acting like a sphincter, and helps to prevent reflux.

· How it's done:

The procedure is usually performed laparoscopically (keyhole surgery), which involves small incisions and the use of instruments and a camera inserted into the abdomen.

· Benefits:

Antireflux surgery can effectively reduce or eliminate GERD symptoms, including heartburn, acid reflux, and chest pain. Many patients are able to stop taking their GORD medications after surgery.

· Types of Fundoplication:

Several techniques exist, with the Nissen fundoplication being the most common. Other types include Watson, Toupet and Dor fundoplication.

· Complications:

While generally safe, antireflux surgery can carry some risks, including difficulty swallowing, belching or vomiting, and in rare cases, damage to the esophagus, stomach, or other organs.

· When it's recommended:

Surgery is generally considered when GORD symptoms are severe or persistent, and when other treatments, such as lifestyle changes and medications, have not provided adequate relief.

· Recovery:

Recovery time varies depending on the type of surgery, but most people can return to work within a few weeks.