Surgical procedure to treat gastric reflux and hiatal hernia
Nissen fundoplication
Diagram of a Nissen fundoplication.
Other names
Laparoscopic Nissen fundoplication
ICD-9-CM
44.66, 44.67
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A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180–200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes.[1]
^Minjarez, Renee C.; Jobe, Blair A. (16 May 2006). "Surgical therapy for gastroesophageal reflux disease". GI Motility Online. doi:10.1038/gimo56 (inactive 31 January 2024).{{cite journal}}: CS1 maint: DOI inactive as of January 2024 (link)
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