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Reflux Surgery

Treatment of Gastroesophageal Reflux Disease (GERD) and Hiatal Hernia with Laparoscopic Fundoplication · Darıca, Kocaeli (20 minutes from Istanbul's Asian side)

What is Reflux?

Gastroesophageal reflux disease (GERD) is a condition where stomach acid flows back into the esophagus. This occurs when the lower esophageal sphincter (the valve between the stomach and esophagus) weakens or does not close properly. Reflux symptoms include heartburn, chest pain, difficulty swallowing, chronic cough, and hoarseness. If left untreated, it can lead to inflammation of the esophagus, ulcers, and even increase the risk of cancer.

Who is it Suitable For?

Reflux surgery is recommended in the following cases:

  • Symptoms persisting despite medication
  • Presence of hiatal hernia
  • Damage to esophageal mucosa (esophagitis, Barrett's esophagus)
  • Respiratory complaints such as chronic cough and asthma
  • Patients who do not want long-term medication use
  • Patients who developed reflux at a young age

Laparoscopic Fundoplication Surgery

Fundoplication is the procedure of wrapping the upper part of the stomach around the lower part of the esophagus to strengthen the lower esophageal sphincter. This surgery is performed using laparoscopic (minimally invasive) techniques.

Surgical Process

Safe and effective treatment with modern surgical techniques.

  • ✓5-6 small incisions are made under general anesthesia
  • ✓Hiatal hernia is repaired if present
  • ✓The fundus of the stomach is wrapped around the esophagus (360° Nissen or 270° Toupet)
  • ✓Surgery duration is 1.5-2 hours

Benefits of Surgery

Benefits of laparoscopic fundoplication as reported in the medical literature. Outcomes vary between patients and require individual assessment:

  • The literature reports marked symptom relief in roughly 90% of patients
  • Most patients can stop reflux medications after surgery
  • Small incisions, less pain, faster recovery
  • Comfortable sleep, normal diet, improved quality of life
  • Minimally invasive method with 1-2 days hospital stay
  • Return to work within 1-2 weeks

⚠️ Results may vary from patient to patient. Compliance with post-operative dietary recommendations is important for success.

Recovery Process

Hospital Stay

Patients typically stay in the hospital for 1-2 days. Pain control is provided and mobilization is started during this period.

Post-Operative Diet

  • • First 1-2 weeks: Liquid and soft foods
  • • Weeks 2-4: Smooth, easily digestible foods
  • • Weeks 4-6: Gradual transition to normal diet
  • • Eat in small portions, chew slowly

Follow-up Program

  • • Week 1 check-up
  • • Months 1, 3, 6, 12 check-ups
  • • Symptom evaluation
  • • Endoscopy control if necessary

Frequently Asked Questions

What is reflux surgery?

Reflux surgery (fundoplication) is a surgical procedure that strengthens the lower esophageal sphincter to prevent stomach acid from flowing back into the esophagus. It is performed using minimally invasive laparoscopic techniques.

Who should have reflux surgery?

Surgery may be considered for patients who do not respond to medication, have chronic reflux complaints, have a hiatal hernia, or whose quality of life is seriously affected by reflux.

What is the recovery process after surgery?

Patients typically stay in the hospital for 1-2 days. Soft foods are recommended for the first few weeks. Full recovery takes 4-6 weeks. Most patients can stop reflux medications after surgery.

What are the surgical risks?

Laparoscopic fundoplication is a safe procedure. Minimal risks include infection, bleeding, and difficulty swallowing (temporary). Experienced surgeons minimize these risks.

How long does the surgery take?

Laparoscopic fundoplication surgery takes approximately 1.5-2 hours. The entire procedure is performed using minimally invasive techniques.

Book an Appointment for More Information

Book a detailed evaluation appointment to determine the most suitable treatment method for you.

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