This is a laparoscopic (keyhole) procedure used in a patient with gastro-oesophageal reflux (GORD) once all the diagnostic tests have been performed (Gastroscopy, oesophageal manometry, pH studies, barium swallow) and it is felt that the patient would benefit from the surgery.

The surgery involves repairing any hiatus hernia that is often present in patients with severe reflux symptoms and then performing a wrap with part of the stomach to prevent acid reflux.

The operation normally involves one overnight stay in hospital and requires a liquid diet after the operation for 2 weeks followed by a soft diet for a further 2 weeks.

Once the operation is completed the patient should be able to come off all their anti-acid medications.

Side effects from surgery include difficulty belching/burping, bloating, inability to vomit, occasionally increased flatulence and diarrhoea.

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