When reflux is not controlled with medication, or depends on it indefinitely, surgery offers a lasting solution. It is performed laparoscopically, and most patients no longer need acid-suppressing medication.
Before surgery
Pre-operative testsBefore surgery, tests are performed to confirm the diagnosis (endoscopy and, frequently, pH monitoring and manometry). They are essential to choose the right technique.
MedicationKeep taking your reflux medication until told otherwise. Tell us if you take blood thinners or antiplatelets.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
Smoking and weightStopping smoking and losing weight, where relevant, clearly improve the outcome of surgery.
The day of surgery
AnaesthesiaGeneral anaesthesia.
TechniqueLaparoscopically, the hiatal hernia is reduced, the opening is closed and a valve is created with your own stomach (fundoplication) to prevent reflux.
DurationUsually between 1.5 and 2 hours.
After surgery
DietThis is the key. You will start with fluids and puréed food, progressing gradually over a few weeks as instructed. Eat slowly and in small amounts.
Difficulty swallowingIt is normal for food to go down more slowly in the first weeks: the area is swollen. It improves progressively.
Gas and belchingAt first, belching may be difficult and you may feel more gas or bloating. This usually improves over time. Avoid fizzy drinks.
ExertionAvoid lifting for 4 weeks so as not to strain the repair.
MedicationMany patients no longer need acid-suppressing medication. Do not stop it on your own: we will advise you at your check-up.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
Complete inability to swallow, even fluids or saliva
