UW Health surgeons at UW Hospital and Clinics in Madison, Wisconsin, perform laparoscopic fundoplication, an operation used to treat severe gastroesophageal reflux disease (GERD).
GERD is the movement of stomach contents (partially digested food, or bile) from the stomach back up into the esophagus. Depending on the circumstances, surgeons can use robotic surgery techniques for fundoplication, which allows for more exact, precise surgical movements.
Fundoplication involves wrapping the upper part of the stomach (fundus) around the lower esophagus to create an antireflux valve. This will allow food and drink to go down into the stomach but prevents stomach contents from flowing back up into the esophagus.
There are three different designations of fundoplication surgery, depending on the degree that the fundus wraps around the lower esophagus. In a Nissen Fundoplication, the fundus wraps a full 360° around the lower esophagus. Alternatively a Dor Fundoplication wraps between 180-200°, and a Toupet Fundoplication wraps around 270°. The surgeon will decide which type of fundoplication is best in each individual case.
GERD may cause symptoms including:
- Chronic cough, hoarseness or asthma
Fundoplication surgery is usually only considered after patients fail treatment with medications.