Intermediate
Technical
In the Industry Vocabulary Test
fundoplication
Pronunciation: fun-doe-plik-AY-shun
Surgical wrapping of the gastric fundus around the esophagus to prevent reflux.
Full Definition
A surgical antireflux procedure that involves wrapping the gastric fundus around the lower esophagus to create a competent lower esophageal sphincter mechanism. The most common technique is the Nissen fundoplication (360-degree wrap), though partial wraps such as Toupet (270-degree) may be used in certain circumstances. In pediatric patients, fundoplication is indicated for medically refractory gastroesophageal reflux disease, particularly when associated with respiratory complications or neurological impairment.
Usage
Usage note: Specify the type (Nissen, Toupet, etc.) and approach (open vs. laparoscopic) for precision.
In Context
- "The patient underwent laparoscopic Nissen fundoplication for severe GERD with recurrent aspiration pneumonia." — Surgical case summary
- "Post-fundoplication gas-bloat syndrome resolved gradually with dietary modifications and time." — Follow-up note
Also known as
antireflux wrap
Nissen procedure
Don't confuse with
pyloromyotomy
gastropexy
hiatal hernia repair