Laparoscopic Nissen fundoplication
It is a minimally invasive procedure that reconstructs the anti-reflux barrier by repairing the oesophageal hiatus and performing a 360º fundoplication.
Long-lasting relief from acid reflux
Nissen fundoplication reinforces the antireflux barrier at the oesophagogastric junction to prevent acid from returning to the stomach.
Restore the anti-reflux barrier
It reinforces the valvular mechanism of the lower oesophageal sphincter and is associated with hiatal repair.
Minimally invasive
It is performed laparoscopically with less post-operative pain and faster recovery.
Outpatient recovery
The patient returns home the same day and soon resumes their usual activities.
Strengthens the natural anti-reflux “valve”
In Nissen fundoplication, the upper part of the stomach (fundus) is wrapped 360° around the lower oesophagus to reinforce the oesophagogastric junction and reduce acid reflux.
Weakened sphincter
If the lower oesophageal sphincter does not close properly, acid can rise into the oesophagus and cause heartburn and reflux.
Fundoplication
A complete wrap of the fundus is performed around the distal oesophagus to create a more effective anti-reflux barrier.
Heavy-duty valve
The wrap creates a more competent valve mechanism, which is associated with better reflux control.
Long-term control
Most achieve significant improvement in acidity and reflux, stopping anti-reflux medication.
We assessed your condition before surgery.
Before surgery, various diagnostic tests are carried out to confirm the diagnosis, evaluate the function of the oesophagus and determine whether laparoscopic Nissen fundoplication is the most appropriate treatment for you.
Upper gastrointestinal endoscopy
It allows the evaluation of the oesophagus and stomach, detecting inflammation, Barrett's oesophagus and hiatus hernia.
24-hour pH monitoring
It measures 24-hour acid exposure to confirm gastro-oesophageal reflux disease (GORD).
Oesophageal manometry
Evaluate the function of the oesophagus and the lower oesophageal sphincter before surgery.
barium swallow
Provide images of the oesophagus and help to identify anatomical abnormalities.
Abdominal ultrasound
Collagen production continues for up to three months after the treatment.
Ready to take the next step?
Speak with our bariatric surgery specialists.
Advanced surgery. Return home the same day.
Dr Dick Manrique is one of the pioneers of major outpatient surgery in Peru. Thanks to minimally invasive techniques and advanced recovery protocols, many patients are able to return home a few hours after surgery, with a faster recovery and lower costs.
Same-day discharge
Most patients return home a few hours after surgery, with no need for an overnight stay in hospital.
Lower risk of infection
A shorter hospital stay reduces exposure to infections and promotes a safer recovery.
Lower costs
Day surgery reduces hospitalisation costs whilst maintaining high standards of safety and quality.
Recover at home
Recover comfortably at home with personalised monitoring from our team.
PIONEER IN DAY-CASE MAJOR SURGERY
Dr. Dick Manrique introduced major outpatient surgery in Peru and is co-author of the book Day-case Surgery: Experiences for Latin America, alongside Dr John Henry Moore Perea, MD.Their work has contributed to the development of modern day-case surgery across Latin America.
Decades of innovation. A legacy of safer surgery
Weight loss and post-bariatric care
Dr Dick Manrique and his team offer bariatric procedures, long-term follow-up and body contouring options, with a personalised plan to sustain your progress over time.
Bariatric procedures
Bariatric options tailored to your health and weight loss goals
Bariatric Support
Nutrition, psychological support and long-term follow-up
Bariatric Laser Unit
Body contouring treatments to support your post-bariatric recovery
What treatment is ideal for you?
Our specialists are at your disposal to evaluate the best options according to your needs and long-term health goals.
We are here to help you take the next step.