fundoplication

Suture of the fundus of the stomach completely or partially around the gastroesophageal junction to treat gastroesophageal reflux disease; can be performed by open abdominal or thoracic operation, but increasingly by laparoscopy. [fundus + L. plico, to fold]

- Belsey f. partial (270°) f. performed via thoracotomy. SYN: Belsey Mark operation, Belsey procedure.

- Collis-Belsey f. SYN: Collis-Nissen f..

- Collis-Nissen f. operation for f. in the presence of a shortened esophagus; the esophagus is lengthened by tubular stapling of the gastric cardia, and the f. is then performed around this neo-esophagus. SYN: Collis-Belsey f., Collis-Belsey procedure.

- Dor f. a partial (180°) and anterior f., popular in Europe and South America and most often used along with a myotomy for the treatment of achalasia.

- Nissen f. complete (360°) f.; can be done via abdominal or thoracic approach; currently most often performed laparoscopically. SYN: Nissen operation.

- Toupet f. a partial posterior f., in which the stomach edge is secured to the esophagus; modifications of Toupet f. are commonly used for laparoscopic f..

* * *

fun·do·pli·ca·tion .fən-dō-plī-'kā-shən n a surgical procedure in which the upper portion of the stomach is wrapped around the lower end of the esophagus and sutured in place as a treatment for the reflux of stomach contents into the esophagus see Nissen fundoplication

* * *

n.

a surgical operation for gastro-oesophageal reflux disease in which the upper part of the stomach is wrapped around the lower oesophagus. The commonest technique is named after Rudolf Nissen, a Swiss surgeon.

* * *

fun·do·pli·ca·tion (fun″do-plĭ-kaґshən) [fundus + plication] plication of the fundus of the stomach around the lower end of the esophagus, done as treatment for reflux esophagitis that may be associated with disorders such as hiatal hernia. Called also fundic wrapping.