Presentation
A patient with 10+ years of heartburn and regurgitation, dependent on daily acid-suppressing tablets with declining relief.
Investigations
Endoscopy and contrast study showed a large hiatus hernia with the stomach sliding into the chest, driving the reflux.
Operative Findings
A sizeable hiatus hernia had widened the diaphragm opening, so medication could never fix the underlying mechanical problem.
Surgical Strategy
A laparoscopic repair with fundoplication was planned to restore normal anatomy and rebuild the anti-reflux barrier.
The Procedure
The hernia was reduced, the diaphragm opening repaired, and a wrap created — all by laparoscopic through small incisions.
Outcome
Reflux resolved; the patient came off daily acid medication and could eat and sleep normally again.
Follow-up
Reviewed with a graded diet plan; symptom-free at follow-up.
When reflux is driven by a hiatus hernia, laparoscopic surgery can offer a lasting cure where tablets only mask symptoms.
Super-specialist GI, bariatric & cancer surgeon. SGPGIMS (India's premier GI centre) + advanced training in Japan & South Korea. Read full profile →
Last reviewed: July 2026From the blog
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Frequently asked questions
Lifestyle and medicines control most cases; for persistent reflux, laparoscopic anti-reflux surgery offers a long-term cure by repairing the valve mechanism.
Surgery is considered when symptoms persist despite medication, return whenever medicines stop, or when a significant hiatus hernia is present.
Laparoscopic anti-reflux surgery is a well-established, minimally invasive procedure with a quick recovery in experienced hands.
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