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Gastro-Esophageal Reflux Disease (GERD):
Lap Anti-reflux Surgery (LAR)

LINX® Reflux Management

Endoscopic Stretta Therapy®


VCU Health


Treatment for GERD

Laparoscopic Anti-reflux Surgery (LAR)

This is the most common surgical treatment for GERD.

The surgeon creates a new anti-reflux valve around the lower esophageal sphincter using the fundus of the stomach. Different types of fundoplication are available such as the Nissen, Toupet or Dor fundoplications LAR allows food and drink to enter the stomach, but prevents stomach contents from flowing back up into the esophagus. LAR surgery requires five to six small incisions (5-12 millimeters) in the abdomen. The type of fundoplication is determined on an individual basis.

The Key Technical Steps of LAR:

Retroesophageal Dissection
Retroesophageal Dissection


Complete esophageal hiatus dissection

Short Gastric Vessel
Short Gastric Vessel, Fig. 2


Mobilization of gastric greater curvature and division of the short gastric vessels

Crural Closure
Crural Closure, Fig. 1
Crural Closure, Fig. 2
Crural Closure, Fig 3

Dor FundoplicationDor Fundoplication
Nissen fundoplicationNissen fundoplication
Toupet FundoplicationToupet Fundoplication

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  last updated: 10/20/2017