Surgery for Gastro Esophageal Reflux Disease (GERD)

Gastroesophageal Reflux Disease (GERD) is a digestive disorder that occurs when acidic stomach juices go back up (reflux) from the stomach into the oesophagus causing symptoms.  Prevalence of GERD symptoms is around 20% of the population.

Click to watch MayoClinic video on GERD surgery

Indications for GERD Surgery

  • Medication has not provided relief to the heartburn symptoms
  • Severe reflux erosion of the oesophagus causing complications like stricture or Barrett’s oesophagus

What to expect before GERD Surgery

  • Discuss with your doctor the surgical options, suitability, risk and benefits of the surgery
  • Have a complete body and heart check up before the surgery
  • Do begin to change your lifestyle such as stop smoking, reduce weight or eat more healthily to help improve the chances of success
  • You may need to stop your blood thinning medications before the procedure so please discuss with your doctor when to stop and restart your medication


Laparoscopic anti-reflux surgery (commonly referred to as Laparoscopic Nissen Fundoplication) involves reinforcing the ‘valve’ between the oesophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the oesophagus (like how a bun wraps around a hot dog).

How to take care after GERD surgery

  • Start eating light or fluid diet in the first 1-2 weeks after the surgery
  • You may do gentle exercises like walking, doing office work and driving
  • Avoid heavy lifting or strenuous exercise for the first month
  • Avoid spicy or heavy fried foods
  • You may find it difficult to swallow or burp and feel bloated for the first 3 months

See your doctor if your experience extreme pain, bleeding, fever,

vomiting or distended painful abdomen after the surgery

Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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