Nissen surgery helps prevent reflux by supporting the lower esophagus with the upper stomach

Nissen fundoplication is a surgical procedure designed to prevent acid reflux by reinforcing a weak lower esophageal sphincter with the patient’s own stomach tissue. During the procedure the upper portion of the stomach is completely wrapped (plicated) around the bottom of the lower esophagus and then stitched into place to create a strong barrier that prevents stomach acid from backing into the esophagus.

Depending on your physician’s recommendation, Nissen fundoplication can be completed through open surgery, which is done through a long incision in your abdomen, or, more commonly, through laparoscopic surgery, which requires 3-4 small incisions to the abdomen. Patients typically spend a few days in the hospital following surgery, and can return to work within 2-3 weeks after laparoscopic surgery, and 4-6 weeks after open surgery.