Nissen or Toupet Fundoplication, Houston
Patients facing the unpleasant effects of acid reflux disease who do not respond well to lifestyle changes or medications or those who wish to avoid the continuous use of medication may consider a surgical procedure. The standard operation for acid reflux (also known as GERD or Heartburn) is a Nissen or Toupet fundoplication with or without hiatal hernia repair. A fundoplication involves repairing any present hiatal hernia and wrapping the top part of the stomach around the end of the esophagus to reinforce the lower esophageal sphincter. This recreates the “one-way valve” that is meant to prevent acid reflux. This operation is typically performed via the laparoscopic method.
Toupet or Nissen Fundoplication Surgery
Laparoscopic anti-reflux surgery (commonly referred to as Laparoscopic Toupet or Nissen Fundoplication) involves a process of reinforcing the “valve” between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus This wrap is partial (270 degrees) in a toupet and complete (360 degrees) in a Nissen.
Fundoplication Post Procedure
Anti-reflux medication is generally not required after surgery. The patient’s diet after surgery is transitioned, beginning with liquids for ten days followed by gradual advance to solid foods. Some patients may develop mild difficulty with swallowing immediately after the operation, which usually resolves spontaneously within one to two weeks. Occasionally, patients may require a procedure to stretch the esophagus (endoscopic dilation) or re-operation in rare instances. The ability to belch and or vomit may be limited following this procedure, while some patients report stomach bloating.
We are passionate about providing outstanding care and are available to answer questions or concerns regarding any upcoming procedure. Every patient faces unique challenges, and we provide personalized consultation to discuss your individual needs and goals.
Schedule Your Fundoplication Procedure in Houston
When surgery is the best long term option for treatment of acid reflux, turn to Texas Endosurgery Associates. Contact our Katy or Houston office today to schedule your consultation.