Laparoscopic Nissen

The Laparoscopic Nissen surgical procedure is considered the gold standard of anti-reflux surgery. It was first pioneered by Rudolph Nissen in the early 1950’s. In the early 1990’s the laparoscopic approach became available by a few surgeons. That’s when Dr. Thomas began performing the Lapaoscopic Nissen Fundoplication.


This procedure basically re-builds the one-way valve at the lowest part of the esophagus that is abnormally functioning as a leaky valve. This allows acid and stomach juices to seep up into the esophagus where they do not belong, causing discomfort and damage. By re-building the valve, these juices stay out of the esophagus. Patients know that the problem is resolved as soon as they wake up from surgery. This surgery is performed as an outpatient procedure and full activity is possible in one week or less.

That’s because the procedure is performed laparoscopically through small incisions using a scope and there is minimal cutting involved. There is a brief time of difficulty swallowing food that is not soft or something like bread that gums up. Most patients can eat soft food like enchiladas within one week, but steak and bread takes one to two months. Gas bloating is unusual and is usually resolved easily. Patients can vomit, just not easily. When performed by well trained and highly experienced surgeons, the long term results are excellent 95% or more of the time.