An estimated 1-in-5 adults in America is affected by gastroesophageal reflux disease, more commonly known as GERD. While most commonly associated with heartburn, GERD is actually a chronic disease that causes reflux of stomach acids into the esophagus. Heartburn that occurs at least twice a week is just one of the most common symptoms of GERD, but some patients may show no symptoms. Over time, GERD can damage or erode the tissue of the esophagus, causing more serious problems. At Arizona Premier Surgery, we offer state-of-the-art anti-reflux surgery for GERD: laparoscopic Nissen fundoplication or lap Nissen. Using minimally invasive techniques to repair and strengthen the esophagus, laparoscopic Nissen fundoplication can help patients who have not had success treating their GERD with lifestyle modification and medications.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"I knew I needed two surgery hernias when I visited by GP. She gave me the name of a surgeon but when I checked him out, I was not satisfied. I then began looking for someone with great reviews that covered many different facets. I found Dr. Amini and am so glad I did. I had only one visit to determine the issues and within days I had surgery scheduled. He is easy to talk to; listens to concerns and the surgery went well. Staff was great also!"- K.L. / Healthgrades / Jun 28, 2018
"Dr. Vazquez was recommended by my primary care physician. She did a fine needle biopsy on my thyroid. The diagnosis was cancer and Dr. Vazquez recommended that my thyroid should be removed. As she immediately inspired confidence, I followed her recommendation. The surgery was uncomfortable, but not painful. Now, over five weeks late, my scar is very small and should not be noticeable in a short time. Dr. Vazquez is professional in every sense of? the word. I recommend her highly."- R.R. / Healthgrades / Jun 20, 2018
"Caring and professional, she does exceptional surgery that’s cosmetically appealing. Fantastic doctor."- L. / Healthgrades / Jun 20, 2018
"This review is for Dr. Bianca Vazquez. She removed my thyroid due to a diagnosis of cancer. I totally agree with? the review by Zorina. Dr. Vazquez completely? defines the word professional? but is also a very pleasant individual. She has a great sense of humor and is very thorough. My scar is barely noticeable and the surgery itself was uncomfortable? but never painful. The day after the surgery my wife (who couldn't pick me up) was surprised to see me walk up the front steps with a smile on my face. No surgery is pleasant, but it was a joy to work with Dr. Vazquez. Highest recommendation!"- R.R. / Yelp / Jun 19, 2018
Common Reasons for Surgery
Nissen fundoplication has become the standard surgical treatment for patients who have severe gastroesophageal reflux disease (GERD). Affecting up to 20% of Americans, GERD creates heartburn (acid indigestion) that may not be controlled with lifestyle modifications or medicines. Laparoscopic surgery for GERD can help to improve the patient's symptoms and heal their esophagus.
Anti-reflux surgery may also be considered for patients who have symptoms that need immediate attention, including esophagitis (inflammation of the esophagus), a constriction of the esophagus not related to cancer, and Barrett's esophagus where acid reflux changes the esophageal cells.
Laparoscopic Nissen fundoplication surgery can also be used to treat a hiatal hernia. A hiatal hernia is caused when the stomach bulges through weakened tissue in the diaphragm, increasing the risk of reflux (stomach acid backing up into the esophagus), which causes heartburn.
About Lap Nissen
Laparoscopic Nissen fundoplication is usually performed with the patient under general anesthesia in an accredited surgical facility in about 2 hours as an in-patient surgery. The surgeon will make 5 small incisions in the patient's abdominal cavity where the laparoscope will be inserted. To strengthen and heal the esophagus, the upper stomach (also known as the fundus) is wrapped around and attached to the esophagus. Once this is complete, the lower esophageal sphincter (the valve between the esophagus and stomach) will be better able to stop acid from getting into the esophagus. If the patient has a hiatal hernia, it can be repaired during the surgery.
What to Expect
Patients typically spend one night in the hospital after their anti-reflux surgery for observation and care. Once discharged, patients can continue their recovery at home with dietary restrictions, like a liquid or soft foods diet. Patients should schedule a follow-up appointment with their doctor for 2 weeks after their surgery. Most patients will be able to return to their normal routines and activities 2 – 3 weeks after surgery, but strenuous activity should be avoided until the patient gets approval from their doctor.
Plan Your Procedure
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
If you aren't getting the relief you want from diet modifications, lifestyle changes, and medications like proton pump inhibitors, schedule a consultation at Arizona Premier Surgery to learn more about laparoscopic Nissen fundoplication. With minimally invasive surgery and a fast recovery time, lap Nissen surgery can be the answer to your GERD.