Hiatus Hernia (Nissen Fundoplication)
What Is a Hiatus Hernia?
A hiatus hernia occurs when the upper part of the stomach slips through the diaphragm into the chest. It often leads to gastro-oesophageal reflux disease (GERD), causing heartburn, regurgitation and discomfort that medicines may not fully control.
When Is Surgery Considered?
Surgery is considered when:
Persistent Symptoms
Symptoms persist despite long-term medication.
Avoiding Lifelong Drugs
You wish to avoid lifelong acid-suppressing drugs.
Complications
There are complications such as oesophagitis, narrowing or large hernias.
Regurgitation
Regurgitation affects breathing, sleep or voice.
Tests such as endoscopy, barium swallow and oesophageal pH or manometry studies help confirm that surgery is appropriate.
About Nissen Fundoplication
In this laparoscopic procedure, the surgeon:
Repositions the Stomach
Returns the stomach to its correct position.
Tightens the Opening
Tightens the diaphragm opening.
Wraps the Stomach
Wraps the top of the stomach around the lower oesophagus.
Creates a Natural Valve
This creates a natural valve that prevents acid from flowing upward.
Recovery Expectations
Hospital stay is usually two to three days. A soft or liquid diet is followed for the first few weeks because swallowing may feel tight initially. Most patients resume regular work within two to three weeks and report significant relief from reflux.
How Curis Global Supports You
We help you with specialist gastroenterology and surgical consultations, coordinate the required investigations, and arrange accommodation and dietary support after surgery.
Frequently Asked Questions
Will I still need medicines?
Many patients can reduce or stop reflux medicines, though some may need occasional use.
Are there side effects?
Temporary bloating and difficulty swallowing can occur and usually settle with time.