Nissen fundoplication is a procedure used to treat gastroesophageal reflux disease (GERD).
GERD Treatment in Washington, D.C.
GERD is a condition in which the stomach contents leak backward from the stomach to the esophagus. This irritates the esophagus, leading to heartburn and other symptoms. Learn more about GERD, including symptoms, diagnosis and treatment. Visit our Health Encyclopedia for more information and videos about GERD.
Nissen Fundoplication: Minimally Invasive Surgery at MedStar Georgetown
Doctors may recommend medications and lifestyle changes to improve your GERD symptoms. If your symptoms did not respond to those treatments, then you may be a candidate for an anti-reflux operation. Our surgeons are experts in performing a minimally invasive procedure called a Nissen fundoplication, named after the doctor who first performed it. During this procedure, your surgeon reinforces your lower esophageal sphincter, to reduce the likelihood of acid backing up into the esophagus.
Your surgeon may choose to use a laparoscopic method, which uses small incisions rather than one large one. Benefits of a laparoscopic surgery include:
- Less pain
- Shorter recovery
- Less risk of complications
Learn more about minimally invasive surgery at MedStar Georgetown.
Nissen Fundoplication: What to Expect
Before beginning the procedure, we will administer general anesthesia so you remain asleep throughout the procedure. During the surgery, your surgeon will:
- Make five small incisions, rather than one large abdominal incision.
- Insert surgical instruments into the incisions.
- Repair hiatal hernia (if present).
- Wrap the upper portion of the stomach around the esophagus.
- Perform upper endoscopy.
- Close the incisions.
After the surgery, you will need to remain in the hospital for overnight observation. Your medical team will discuss with you any dietary changes you need to make while you recover.














