Anti-reflux surgery

What is Reflux?

Reflux, also known as heartburn, occurs when stomach acid moves from the stomach up into the oesophagus.

Reflux or heartburn occurs due to a hiatus hernia when the stomach slides or roll into the chest cavity. Untreated reflux is causes oesophagitis and Barretts change (a condition where the lining of the oesophagus undergoes transformation to that of the stomach or bowel, a precancerous condition).

How can this be treated?

Stitches are used to repair the diaphragm muscle. Following this, the stomach itself is wrapped around the lower part of the oesophagus. This can be performed as a complete 360-degree wrap (Nissen fundoplication) or a 270 degree partial wrap (Partial fundoplication). A Nissen wrap is preferred for volume reflux (where fluid is brought up or regurgitated) whereas a partial wrap is sufficient for acid reflux alone. However, a Nissen wrap may be associated with more bloat/wind in the first few months after surgery.

The technique is safe and effective with most patients able to stop all reflux related medication.

Please understand that the information that is provided on this website is to serve as a guide only. This does, by no means, negate or alter the need for a full individual consultation and medical assessment.


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