Fundoplication
Fundoplication
Fundoplication (pronounced: fun-doh-pli-KAY-shun) is a surgical procedure that aims to strengthen the barrier between the stomach and the esophagus. The procedure is often used to treat gastroesophageal reflux disease (GERD) and hiatal hernia.
Etymology
The term "fundoplication" is derived from "fundus," the upper part of the stomach, and "plication," which means folding. This term accurately describes the procedure, which involves wrapping the upper part of the stomach (the fundus) around the lower end of the esophagus.
Procedure
During a fundoplication procedure, the surgeon wraps the upper part of the stomach around the lower esophagus. This strengthens the lower esophageal sphincter, preventing acid and stomach contents from flowing back into the esophagus. The procedure can be performed using a laparoscopic approach or through a larger incision in the abdomen (an open procedure).
Types of Fundoplication
There are several types of fundoplication procedures, including:
- Nissen fundoplication: This is the most common type of fundoplication. It involves wrapping the entire fundus around the esophagus, creating a high pressure zone to prevent reflux.
- Toupet fundoplication: This is a partial fundoplication, where only the back of the stomach is wrapped around the esophagus. It is often used in patients with motility problems.
- Dor fundoplication: This is another type of partial fundoplication, where the front of the stomach is wrapped around the esophagus.
Related Terms
- Gastroesophageal reflux disease (GERD)
- Hiatal hernia
- Nissen fundoplication
- Toupet fundoplication
- Dor fundoplication
- Laparoscopic surgery
External links
- Medical encyclopedia article on Fundoplication
- Wikipedia's article - Fundoplication
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