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Anti-Reflux Surgery Nissen Fundoplication or LINX System

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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 FundoplicationLINX® System
Wrapping of stomach around the esophagusMagnetic bracelet implant
Traditional surgeryFDA approved device
90 – 120 minutes60 – 120 minutes
No pre-authorization required
(earliest availability)
Pre-authorization required
(up to three months)
Large or small hiatal herniaLarge or small hiatal hernia
May be altered for swallowing problemsMust have working esophagus
MRI okayUp 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