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
"Everyone is so nice at this office. The doctors where so gentle and very informative. My treatment looks so amazingly natural. It was important for me to not look like I have had anything done. You can see my lips are just a little bigger and my smile lines are gone!!! (photo with marron shirt is post treatment)"- J.F. / Google / Nov 13, 2018
"Dr. Amini and his staff are excellent! I am so grateful to him and all involved with my recent surgery. He and his staff are kind, caring and understanding. I have been a nurse for many many years. I would recommend AZ Premier surgery to anyone. Thanks to all"- S.R. / Yelp / Nov 12, 2018
"Being new to Arizona, I was given a referral to Arizona Surgical Center and Dr. Amini. Dr. Amini's skills speak for themselves. For me he was able to perform my surgery robotically with minimal recovery time. Their team was efficient, skilled in today's modern robotic technology. Dr. Amini took into account the patient's situation and made every effort to make my recovery quick and able to get back to routine measures quickly. He was the right choice for me. If you are faced with having to have major surgery it would be to your best interest to speak with Dr. Amini regarding your care. He is an amazing surgeon."- B.P. / Google / Oct 06, 2018
"Dr Leeds absolutely cares for her patients. Hernia surgery was painless and was back to work quickly. I've had more down time with tooth problems. I would recommend her highly to all and anyone with hernia problems. Recently found out she's on medical leave. Hope all works out quickly in her favor, she'll be in my prayers. Get well soon the world needs you!!"- O.V. / Healthgrades / Sep 14, 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.