Surgical Treatment of GERD

Laparoscopic Nissen Fundoplication
In 1956, the "open" Nissen fundoplication procedure was described and has showed up to a 93% success rate at 10 years. In 1991, the minimally invasive Nissen fundoplication was introduced. The procedure offers the same outcome results, but uses a minimally invasive access technique, which offers patients significant advantages over the open Nissen fundoplication procedure.

In the minimally invasive Nissen fundoplication procedure, a laparoscope and manipulation instruments are introduced through trocars into the abdominal cavity. The upper portion, or fundus, of the stomach is mobilized and wrapped around the esophagus and sutured. The stomach wrap lengthens the esophageal sphincter, improves lower esophageal sphincter pressure, and serves as a functioning lower esophageal sphincter.