Reflux surgery is performed to treat chronic acid reflux that has not responded to medical therapy, helping restore normal function and reduce ongoing irritation to the oesophagus. At BMI Specialist Clinic, Dr Andrew Kiyingi and his team take a structured, patient-focused approach—aimed at long-term symptom control and improved quality of life.
What Is Reflux Surgery?
Reflux surgery, most commonly a fundoplication, is a procedure designed to strengthen the valve between the oesophagus and stomach, preventing stomach acid from flowing back upward.
From a technical perspective, the upper part of the stomach (the fundus) is wrapped around the lower end of the oesophagus. This reinforces the lower oesophageal sphincter, which is often weakened in patients with gastro-oesophageal reflux disease (GORD).
In some cases, a hiatus hernia is also repaired at the same time, as this can contribute to reflux symptoms.
The goal of the procedure is to restore a more normal barrier function, reducing acid exposure and allowing the oesophagus to heal.
How Does Reflux Surgery Work?
The procedure works by improving the mechanical function of the valve that prevents reflux.
By reinforcing the lower oesophageal sphincter, the surgery reduces the backflow of acid and stomach contents into the oesophagus.
This helps relieve symptoms such as persistent heartburn, regurgitation, chest discomfort, and chronic cough.
Unlike medication, which manages acid production, reflux surgery addresses the underlying structural issue—providing a more durable, long-term solution for appropriately selected patients.
What to Expect From My Reflux Surgery Journey
This is a structured and carefully assessed process.
It begins with a comprehensive evaluation, which may include endoscopy, pH monitoring, and oesophageal motility studies to confirm the diagnosis and determine suitability for surgery.
The procedure is performed laparoscopically (keyhole surgery) and typically takes between 60–120 minutes. Most patients stay in hospital for 1–2 nights.
After surgery, a staged dietary progression is followed—starting with liquids, then soft foods, before returning to a normal diet over several weeks.
Some temporary swallowing difficulty or bloating can occur during recovery as the body adjusts.
Ongoing follow-up ensures appropriate healing and optimal long-term outcomes.
How Does Reflux Surgery Change Your Life?
For patients with chronic reflux, the improvement can be significant.
Symptoms such as heartburn and regurgitation are often dramatically reduced or resolved, allowing patients to move away from long-term medication use in many cases.
Sleep quality, comfort after meals, and overall daily function typically improve.
Importantly, reducing ongoing acid exposure also helps protect the oesophagus from long-term damage, including inflammation and pre-cancerous changes.
The overall outcome is greater comfort, improved function, and a return to a more normal, unrestricted lifestyle.
What Are the Risks and Benefits?
Reflux surgery is a well-established procedure with strong outcomes when performed in appropriately selected patients.
The benefits include long-term symptom relief, reduced reliance on medication, and protection of oesophageal health.
As with any surgery, there are risks. These include (but are not limited to):
- Bleeding (approximately 1–2%)
• Infection
• Difficulty swallowing (usually temporary)
• Gas bloating or inability to belch (can occur in some patients)
• Recurrence of reflux over time
• Injury to surrounding structures (rare)
Most side effects improve as the body adapts, and serious complications are uncommon.
Our team will guide you through a detailed assessment and a clear understanding of your options, ensuring you are fully informed before proceeding.
Reflux surgery restores the natural barrier between the stomach and oesophagus—helping you move forward without the ongoing disruption of chronic reflux.
Book a consultation to discuss your symptoms and take the next step toward lasting relief.