Laparoscopic Anti-Reflux Surgery

Reflux surgery

, also called Nissen Fundoplication, is a technique to treat gastro-oesophageal reflux disease (GERD).


involves inflammation, pain (heartburn), and complications that result when acid refluxes (regurgitates) from the stomach into the oesophagus. Normally, there is a barrier to

acid reflux

. One part of this barrier is the muscle of the oesophagus called the lower oesophageal sphincter, which closes off the oesophagus from the stomach most of the time. With GERD, the sphincter does not work as it should and allows acid from the stomach to go back up into the oesophagus. During surgery, the part of the stomach closest to the oesophagus is gathered, wrapped and sutured (stitched) around the lower end of the oesophagus and the lower oesophageal sphincter. This increases the pressure at the lower end of the oesophagus and so reduces acid reflux. Fundoplication may be done with a laparoscope, a flexible lighted tube with a camera attached, which is inserted through a small incision in the abdominal wall. Other small incisions allow instruments to be inserted. This is usually done under general anaesthetic. Laparoscopy usually means a shorter hospital stay.

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Mr Michael Hii is an oesophago-gastric surgeon who specialises in the treatment of oesophageal and gastric cancer, hiatus hernia repair, anti-reflux surgery, surgery for achalasia and obesity surgery . . . .



Upper Gastrointestinal and General Surgeon, specialising in surgery for disorders of the stomach and oesophagus, and weight loss surgery . . . .

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