Anti-Reflux Surgery Nissen Fundoplication or LINX System

Anti-Reflux Surgery

  • Provides relief from heartburn and acid reflux by fixing the structural cause

  • Laparoscopic surgery

  • Pre-Operative Testing

    • Evidence of acid reflux (scope biopsy and special acid test)

    • Esophagus function test (swallow study and motility test)

  • Recovery

    • Five - 14 days off work

    • Four - six weeks of no lifting greater than 20 pounds


Traditional Nissen Fundoplication LINX® System
Wrapping of stomach around the esophagus Magnetic bracelet implant
Traditional surgery FDA approved device
90 – 120 minutes 60 – 120 minutes
No pre-authorization required
(earliest availability)
Pre-authorization required
(up to three months)
Large or small hiatal hernia Large or small hiatal hernia
May be altered for swallowing problems Must have working esophagus
MRI okay Up to 1.5 tesla MRI
  • Overnight hospital stay
  • Six-week progression of liquids, soft diet, then solids
  • No bread for eight weeks
  • Possibly no carbonation ever
  • Usually outpatient surgery
  • Regular diet; small, frequent solid meals