GERD Surgery is a surgical treatment for gastroesophageal reflux disease (GERD) when persistent acid reflux is not adequately controlled with lifestyle changes and medications or when complications develop. The most common surgical approach is fundoplication, in which the upper part of the stomach is wrapped around the lower esophagus to strengthen the lower esophageal sphincter and reduce the backward flow of stomach acid. Other procedures, including selected minimally invasive techniques, may be considered based on the patient's condition.
Patients with Persistent GERD Symptoms
Individuals who continue to experience frequent heartburn, acid reflux, regurgitation, or chest discomfort despite appropriate medical treatment.
Patients with GERD Complications
People who develop complications such as severe esophagitis, esophageal narrowing, or other damage associated with long-standing acid reflux.
Patients Dependent on Long-Term Medication
Individuals who require ongoing acid-suppressing medication and are medically suitable for surgery after comprehensive evaluation.
Comprehensive GERD Evaluation
Your specialist may perform endoscopy, pH monitoring, esophageal manometry, imaging, and other tests to confirm GERD and determine the most appropriate treatment.
Anti-Reflux Surgery
Under general anesthesia, the surgeon strengthens the lower esophageal sphincter, commonly by wrapping the upper portion of the stomach around the lower esophagus during fundoplication.
Recovery & Follow-Up Care
After surgery, your medical team monitors your recovery and provides dietary guidance, medication instructions, and follow-up care to evaluate symptom improvement and healing.
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Your Treatment Journey
Before Procedure
- You will undergo diagnostic testing to confirm GERD and assess the function of your esophagus and stomach.
- Your doctor will discuss the surgical approach, expected benefits, potential risks, and available alternatives.
- You may be advised to fast and temporarily adjust certain medications before surgery.
During Procedure
- GERD surgery is generally performed laparoscopically under general anesthesia.
- The procedure commonly takes around 1–2 hours, depending on the surgical technique and individual circumstances.
- During fundoplication, the upper part of the stomach is carefully positioned around the lower esophagus to strengthen the anti-reflux barrier.
After Procedure
- Hospitalization is commonly 1–2 days, although this varies by patient and surgical approach.
- Temporary difficulty swallowing, bloating, gas, or mild abdominal discomfort may occur during the early recovery period.
- You will usually follow a gradual diet progression, and most patients can gradually return to normal activities within 2–4 weeks, as advised by their surgeon.
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