If lifestyle modifications and medications are not controlling symptoms to your satisfaction, surgery may be a potential solution. Some patients may choose surgery because medication therapy has been ineffective or is too expensive. Surgery also can be considered for those who are concerned about disease progression or want to avoid lifetime medications. We encourage you to ask questions about both options and involve your primary care provider in your journey, so that he or she can help you make an informed decision about your healthcare.
The Nissen is a minimally invasive surgical procedure that reconstructs the lower esophageal sphincter (LES) – repairing the LES to serve as a one-way valve and stop the reflux. During a Nissen fundoplication, the surgeon reconstructs the malfunctioning valve by loosely wrapping a part of the stomach around the esophagus.
There are a number of benefits to the Nissen. Since it is a minimally invasive procedure, you should experience less pain, a shorter hospital stay, a quicker recovery, a lower risk of infection and minimal scarring. A successful laparoscopic Nissen fundoplication may eliminate or greatly reduce GERD symptoms and the need for medications, as it anatomically corrects the problem that was causing your reflux.