What are the essential elements of laparoscopic fundoplication for treating gastroesophageal reflux disease (GERD)?

Updated: May 23, 2019
  • Author: Marco G Patti, MD; Chief Editor: BS Anand, MD  more...
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Answer

The essential elements of the operation are as follows:

  • Complete mobilization of the fundus of the stomach with division of the short gastric vessels

  • Reduction of the hiatal hernia

  • Narrowing of the esophageal hiatus

  • Creation of a 360° fundoplication over a large intraesophageal dilator (Nissen fundoplication)


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