Antireflux surgery (Nissen procedure)

Nissen fundoplication also referred to as a Lap Nissen, is a laparoscopic procedure performed for patients with gastroesophageal reflux disease (GERD). Many patients with reflux can be treated with medicines to decrease acid production in the stomach. However, some patients continue to have severe symptoms of either regurgitation or incomplete healing of their esophagus despite high doses of medical therapy. These patients should consider surgery as another option.