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.
"Dr. Albert Amini is a total rockstar. He's the most impressive surgeon I've ever interacted with, hands down. Not only does he have a tremendous surgical record, he listens attentively and has the rare gift of being able to condense complex information into explanations that even we laypeople can digest.He was carefully deliberate and considerate even for my simple, routine surgery (appendectomy), so I cannot recommend him highly enough, if you or a loved one is ever in a complicated scenario requiring a thoughtful doctor who will be attentive and willing to take time to really *hear* you and establish a plan of action WITH you. The peace of mind he will give you will be well worth the trip to Arizona!"- T.B. / Yelp / Jan 05, 2018
"Dr. Amini is GREAT. I was in California last year on vacation and my Gallbladder blew. I had to get off Catalina Island and was sent to UCI Irvine where they did surgery New Years Eve. The surgeon told me after that she could not do it laparoscopically because of adhesions and so it was an open surgery. Even then she said she could only take part of the gallbladder as it was too infected to do much else. I had to have an ERCP the next day due to a bile leak they had to put a stent in. I kept having troubles after I was released and sent back home. My husband found Dr Amini because of his specialty. I was told in California they took most of the gallbladder but every CT scan that was done here showed a full gallbladder. I don't think they did anything but drain it. Dr. Amini took my case was very patient with me and when he did the surgery, he did it laparoscopically with 3 small incisions. He took down all the adhesions from my previous messed up surgery with Mayo and now UCI. Then he removed the gallbladder totally. He said i was 90% in tact. I am so happy surgery was a complete success and I am 2 weeks post op and I feel great have been walking 5 miles a day and ready to start playing tennis. You would be lucky to have a surgeon like Dr. Amini. He knows his stuff!!"- S.M. / Yelp / Dec 14, 2017
"This review is for Dr. Bianca Vazquez. I would give a million stars if that were an option! She is the endocrinology specialist and I just had my follow-up with her after she removed my thryroid 16 days ago. First of all, she is an incredibly talented and skilled surgeon. My steri-strips were removed today and my scarring is so minimal it's almost shocking that the procedure was done 16 days ago! My favorite thing about her is her bedside manner. She was so good about taking plenty of time to explain EVERYTHING including different options for treatment, post care, follow up and even diet advice! She's the epitome of the "new school" of doctors which emphasizes the importance of patients' input and participation in their own care. It's like you make the decisions together. The Scottsdale office is beautiful and Dr. Vazquez and the staff provide a warm and welcoming environment. I just love how personable she is and I feel like I not only found an incredibly knowledgeable and skilled surgeon but that I have made a new friend. Look no further if you need endocrinology surgery! She's the BEST!!!"- Z.K. / Yelp / Dec 07, 2017
"I was referred to Dr Vazquez by my Endocrinologist because of the fast growing nodules on my thyroid. Knowing she worked at Mayo Clinic, I had a really good feeling going in. We first met her at the consultation & were immediately impressed with the thorough information she gave us. She made sure we did not have any further questions regarding surgery before letting us go. It was really nice to have an option as to where the surgery would take place. She came to see me in pre-op right before surgery to let my family know how long to expect the surgery to be & ensure we had no further questions. My scar from surgery is barely visible. So much so, that when I went for post-surgery, her nurse had to do a double take. Not only a terrific surgeon, this lady has drive & thrives to be above & beyond any expectations of her patients. We definitely need more doctors like Dr Vazquez!!! Terrific lady!!!"- N.W. / Google / Dec 04, 2017
"I met Dr. Amini when I was told I had to have my appendix removed that same night in the ER when I went in for abdominal pain. His bed side manner, patience and explaining the whole surgery and answering all questions my mom and I had was beyond excellent. My surgery went very well with no complications. He is extremely thorough. After seeing him in his office after surgery my opinion of him still stands. He's an amazing surgeon, very kind, assuring, compassionate and his patient care is outstanding. I would highly recommend him to anyone in need! Thank you Dr. Amini for taking such great care of me!"- A.M. / Google / Nov 20, 2017
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.