Lap Nissen

Bart Decadt

Consultant Laparoscopic Bariatric

& Upper GI Surgeon

All Enquiries

0161 440 9997

Lap Nissen Fundoplication

What is Gastro-Oesophageal Reflux Disease

Also known as GORD, it is a condition that results from the acid in the stomach splashing back up into the oesophagus (gullet). When the sensitive lining of the oesophagus is exposed to stomach acid, burning pain (heartburn) may result. Although most patients have mild symptoms, a minority has severe symptoms which are not well controlled by medication. These patients can be helped by keyhole surgery, called Laparoscopic Nissen Fundoplication.

The symptoms may include

•Heartburn: a burning feeling in the upper abdomen. It can travel through the chest and into the throat and neck. It is believed to be caused by acid irritating the oesophagus.

•Regurgitation: a warm salty, bitter taste in the mouth. It occurs when stomach contents flow back into the mouth, often when belching. Sometimes food may physically regurgitate to the mouth.

•Chest pain: pain in the chest reflecting spasm in the oesophagus. It can be caused by the acid returning to the oesophagus and can mimic a heart attack.

•Hoarseness: this can develop if the acid and/or stomach contents reach the mouth and throat.

•Choking/Wheezing: may occur at night when stomach contents may enter the lungs.

•In severe cases of GORD, patients may experience difficulty in swallowing, painful swallowing or bleeding from the oesophagus. The presence of high level of gastric acid in the lower oesophagus may lead to chronic dry cough.

•Atypical symptoms: nausea, bad breath, cough and difficulty in swallowing.

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