Surgery
Fundoplication
Fundoplication is surgery to stop severe acid reflux by wrapping the top of the stomach around the lower gullet to strengthen the valve.
Quick answer
Fundoplication: what it is, why it's done and what happens
Fundoplication wraps the upper part of the stomach around the lower oesophagus to reinforce the valve between them, reducing the backflow of acid. It is often done with repair of a hiatus hernia.
- Why it is done: It is used for severe gastro-oesophageal reflux disease (GORD) that has not been controlled by medicines and lifestyle changes, or when someone does not want to take long-term acid-reducing medication.
- What happens: Under general anaesthetic, usually by keyhole surgery, the surgeon wraps the stomach around the lower gullet and secures it.
What it is
Fundoplication wraps the upper part of the stomach around the lower oesophagus to reinforce the valve between them, reducing the backflow of acid. It is often done with repair of a hiatus hernia.
Why it is done
It is used for severe gastro-oesophageal reflux disease (GORD) that has not been controlled by medicines and lifestyle changes, or when someone does not want to take long-term acid-reducing medication.
What happens
Under general anaesthetic, usually by keyhole surgery, the surgeon wraps the stomach around the lower gullet and secures it. The operation typically takes 1–2 hours, with a short hospital stay.
Recovery
A soft or liquid diet is followed at first, gradually returning to normal foods over weeks as swallowing settles. Most people recover over 2–6 weeks and can stop or reduce reflux medicines.
Good to know
Risks and things to consider
Risks include difficulty swallowing, bloating, inability to burp or vomit normally, and the wrap loosening over time. Some people still need medicines, and occasionally further surgery is required.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Fundoplication: frequently asked questions
Will I be able to stop my reflux medicines?
Many people can stop or greatly reduce acid-reducing medicines after successful surgery, though some still need them. Your surgeon will advise based on your results.
Why can’t I burp or vomit easily afterwards?
The tighter valve created by surgery can make burping and vomiting more difficult, especially early on. This often eases with time, and eating slowly and avoiding fizzy drinks helps.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Relevant Royal College / professional body
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