Nissen fundoplication

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Nissen Fundoplication

Nissen fundoplication (pronounced: nis-en fun-doh-pli-kay-shun) is a surgical procedure used to treat gastroesophageal reflux disease (GERD) and hiatal hernia.

Etymology

The procedure is named after Dr. Rudolph Nissen, a Swiss surgeon who first performed the procedure in 1955.

Definition

In a Nissen fundoplication, the gastroesophageal junction (where the esophagus and stomach meet) is wrapped by the upper part of the stomach (the fundus) to reinforce the closing function of the lower esophageal sphincter.

Procedure

During the procedure, the surgeon wraps the top of the stomach around the lower esophagus. This strengthens the valve between the esophagus and stomach, which stops acid from backing up into the esophagus as easily. This provides relief from the symptoms of GERD.

Related Terms

  • Gastroesophageal reflux disease (GERD): A chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).
  • Hiatal hernia: A condition in which part of the stomach pushes up through the diaphragm muscle.
  • Esophagus: The tube that connects the throat (pharynx) with the stomach.
  • Stomach: The organ where the major part of digestion of food takes place.
  • Fundus: The upper part of the stomach, which forms a bulge higher than the opening of the esophagus.
  • Gastroesophageal junction: The area where the esophagus is connected to the stomach.

External links

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