2. Suture of the fundus of the stomach completely or partially around the gastroesophageal junction to treat gastroesophageal reflux disease.
It can be performed by an open abdominal or a thoracic operation, or by using a laparoscopic approach.
Fundoplication has been the standard surgical method for treating gastro-esophageal reflux disease; also known as, (GERD).
GERD is the result of inflammation, pain (heartburn), and complications which results when acid refluxes (regurgitations) from the stomach back up into the esophagus.
Under normal conditions, there is a barrier to acid reflux. One part of this barrier is the lower-most muscle of the esophagus (called the lower esophageal sphincter) which is contracted and closes off the esophagus from the stomach most of the time.
In people with gastro-esophageal reflux disease, the sphincter does not work normally. It is weak or relaxes inappropriately, permitting the acid from the stomach to go back up into the esophagus.