This is a surgical procedure done for Gastro Esophageal Reflux Disease (GERD). In this operation the fundus of the stomach which is on the left of the esophagus and main portion of the stomach is wrapped around the back of the esophagus until it is once again in front of this structure.
Gastro esophageal Refux Disease (GERD) is defined as the failure of the antireflux barrier, allowing abnormal reflux of gastric contents into the esophagus.
Medical therapy is the first line of management. Esophagitis will heal in approximately 90% of cases with intensive medical therapy. However, symptoms recur in more than 80% of cases within one year of drug withdrawal.
Nissen fundoplication has emerged as the most widely accepted procedure for patients with normal esophageal motility.
No. Most surgeons would not recommend laparoscopy in those with pre-existing disease conditions. Patients with cardiac diseases and COPD should not be considered a good candidate for laparoscopy.
No. 3