What is laparoscopic anti-reflux surgery?
The most common procedure is Nissen fundoplication: the upper part of the stomach (fundus) is wrapped around the lower oesophagus laparoscopically, reinforcing the sphincter and preventing acid from flowing back. Hiatal hernia repair is performed simultaneously when present.
Who is a suitable candidate?
Surgery is considered when GERD symptoms persist despite optimal medical therapy, when patients wish to avoid lifelong medication, or when complications such as Barrett's oesophagus are developing. A pre-operative endoscopy and pH/manometry study are typically required.
Recovery
Most patients are discharged within 1–2 days. A soft diet is maintained for 2–4 weeks. Most patients can return to work within 1–2 weeks. Symptom resolution rates exceed 90% in well-selected patients.
Frequently Asked Questions
For the majority of patients, the results are long-lasting. A small percentage may require medication again over time, but most maintain symptom freedom without drugs.
After an initial soft-diet period of 2–4 weeks, most patients return to a normal diet. Some temporary bloating or difficulty swallowing resolves as swelling subsides.