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Laparoscopic Fundoplication
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Laparoscopic Fundoplication
Fundoplication has been the standard surgical method for treating gastro-oesophageal reflux disease (GERD). GERD causes inflammation, pain (heartburn), and other complications (such as scarring and stricture of the oesophagus). GERD results when acid refluxes (regurgitates, or backwashes) from the stomach back up into the oesophagus. Under normal conditions, there is a barrier to acid reflux. One part of this barrier is the lower-most muscle of the oesophagus (called the lower oesophageal sphincter). Most of the time, this muscle is contracted (constricted, or tight), which closes off the oesophagus from the stomach. In patients with GERD, the sphincter does not function normally. The muscle is either weak or relaxes inappropriately. Fundoplication is a surgical technique that strengthens the barrier to acid reflux when the sphincter does not function normally.
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