{"id":16881,"date":"2023-08-07T16:58:15","date_gmt":"2023-08-07T14:58:15","guid":{"rendered":"https:\/\/refluxkrankheit.ch\/therapy\/surgical-therapy\/"},"modified":"2026-07-09T15:05:08","modified_gmt":"2026-07-09T13:05:08","slug":"surgical-therapy","status":"publish","type":"page","link":"https:\/\/refluxkrankheit.ch\/en\/therapy\/surgical-therapy\/","title":{"rendered":"Surgical Treatment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16881\" class=\"elementor elementor-16881 elementor-15152\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-584d623 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"584d623\" data-element_type=\"section\" data-e-type=\"section\" id=\"ursachen\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7cff569\" data-id=\"7cff569\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36b66fa elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"36b66fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tWhen is Surgery Indicated?\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f80a84 elementor-widget elementor-widget-text-editor\" data-id=\"5f80a84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><p>Persistent symptoms or recurrence despite appropriate medical therapy<\/p><\/li><li><p>Insufficient response to medical treatment or relevant side effects<\/p><\/li><li><p>Patients who do not wish to remain on long-term medication<\/p><\/li><li><p>Very large hiatal hernias (mechanical impairment, risk of incarceration)<\/p><\/li><li><p>Patients with concerns regarding long-term effects of medical therapy<\/p><\/li><li><p>Desire to correct the underlying mechanical cause of reflux<\/p><\/li><\/ul><p>Surgical treatment represents a reasonable option when conservative and medical measures are not sufficiently effective or when long-term therapy is not desired.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0085421 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"0085421\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tGoals of Surgical Treatment\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b65a909 elementor-widget-laptop__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b65a909\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In contrast to purely medical therapy, surgery aims to restore the anatomical and functional conditions at the gastroesophageal junction.<\/p><p>The primary goal of surgical treatment is to reposition the herniated contents (most commonly the upper part of the stomach) from the thoracic cavity back into the abdominal cavity. In addition, the enlarged diaphragmatic hiatus must be reconstructed. <\/p><p>Further operative steps are required to achieve durable reflux control. Various surgical techniques are available for this purpose, each based on different functional principles. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2f73f55\" data-id=\"2f73f55\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4aabf89 elementor-widget elementor-widget-text-editor\" data-id=\"4aabf89\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Widened Diaphragmatic Hiatus<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b78a99d elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"b78a99d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"337\" height=\"442\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-1-ausgeweitete-zwerchfellluecke-EN-1.jpg\" class=\"image wp-image-16679  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"bild-1-ausgeweitete-zwerchfellluecke\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-1-ausgeweitete-zwerchfellluecke-EN-1.jpg 337w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-1-ausgeweitete-zwerchfellluecke-EN-1-229x300.jpg 229w\" sizes=\"(max-width: 337px) 100vw, 337px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60fbf97 elementor-widget elementor-widget-text-editor\" data-id=\"60fbf97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diaphragmatic Reconstruction (Hiatoplasty)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-372fe20 elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"372fe20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img decoding=\"async\" width=\"337\" height=\"442\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-2-zwerchfelleinengung-EN-1.jpg\" class=\"image wp-image-16680  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"bild-2-zwerchfelleinengung\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-2-zwerchfelleinengung-EN-1.jpg 337w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/bild-2-zwerchfelleinengung-EN-1-229x300.jpg 229w\" sizes=\"(max-width: 337px) 100vw, 337px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-82b0ade elementor-section-full_width elementor-section-content-middle qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"82b0ade\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e78715\" data-id=\"9e78715\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-070004c elementor-widget-tablet__width-initial elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"070004c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: left;\"><span style=\"color: #ffffff;\">Surgical Approach<\/span><\/h2>\n\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">Operations for gastroesophageal reflux disease (GERD) and hiatal hernias can generally be performed either as an open procedure (through an abdominal incision) or using a minimally invasive approach, either conventional laparoscopic surgery or robot-assisted laparoscopic surgery. Both techniques are minimally invasive and are performed through small abdominal incisions.<\/span><\/p>\n\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">Today, the vast majority of these procedures are performed using minimally invasive techniques. An open operation is required only in exceptional circumstances, for example if unexpected major complications arise during surgery that no longer allow the procedure to be completed safely using a minimally invasive approach.<br\/> <\/span><\/p>\n\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">Whether a procedure is performed using conventional laparoscopic surgery or robot-assisted laparoscopic surgery depends primarily on the treating surgeon&#8217;s preferred surgical approach and is discussed with each patient before surgery.<\/span><\/p>\n\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">The success of antireflux surgery depends primarily on meticulous surgical technique and the experience and specialization of the treating surgeon. In most cases, whether the procedure is performed using conventional laparoscopic surgery or robot-assisted laparoscopic surgery is of secondary importance. <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e882123 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"e882123\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6ebe13f\" data-id=\"6ebe13f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d9363e elementor-widget elementor-widget-text-editor\" data-id=\"4d9363e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Surgical Methods<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-df7dd0b\" data-id=\"df7dd0b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-983bc23 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"983bc23\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4a869a2\" data-id=\"4a869a2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9b4f78 elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"f9b4f78\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"#klassisch\"><img decoding=\"async\" width=\"800\" height=\"500\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/03\/aeltere-verfahren_komprimiert.jpg\" class=\"image wp-image-17730  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"aeltere-verfahren_komprimiert\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/03\/aeltere-verfahren_komprimiert.jpg 800w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/03\/aeltere-verfahren_komprimiert-300x188.jpg 300w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/03\/aeltere-verfahren_komprimiert-768x480.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe42bcd elementor-widget elementor-widget-text-editor\" data-id=\"fe42bcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"#klassisch\">Procedures Based on Different Functional Principles<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7240466\" data-id=\"7240466\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c5e2bb elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"1c5e2bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"#bicorn\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"500\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/modern-procedures-EN.jpg\" class=\"image wp-image-17732  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"modern-procedures-EN\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/modern-procedures-EN.jpg 800w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/modern-procedures-EN-300x188.jpg 300w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/modern-procedures-EN-768x480.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cc2056 elementor-widget elementor-widget-text-editor\" data-id=\"7cc2056\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"#bicorn\">Reconstructive, Function-Preserving Procedures<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0bc8443 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"0bc8443\" data-element_type=\"section\" data-e-type=\"section\" id=\"klassisch\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-8e8f83c\" data-id=\"8e8f83c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60149ce elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"60149ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tWrap Procedures\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aee7997 elementor-widget elementor-widget-text-editor\" data-id=\"aee7997\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Fundoplication<\/h4><p>Fundoplication is one of the surgical methods that has been established for decades.<\/p><p>In this procedure, the uppermost part of the stomach is fashioned into a cuff around the lowest section of the esophagus.<\/p><h4>Nissen and Toupet Fundoplication<\/h4><p>In <strong>Nissen fundoplication (first described in 1956)<\/strong>, the gastric fundus is wrapped completely (360\u00b0) around the esophagus. This wrap is secured to itself and in part additionally fixed to the esophagus. <\/p><p>In <strong>Toupet fundoplication (first described in 1963)<\/strong>, the gastric fundus is positioned as a posterior partial wrap (270\u00b0) around the esophagus and fixed to it.<\/p><p>Reflux control is generally effective and well documented; however, it is associated with functional limitations.<\/p><p>Due to the circumferential fixation, the natural functional dynamics of the gastroesophageal junction are altered. Belching is often impaired, and vomiting may be significantly restricted. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-ff66a2b\" data-id=\"ff66a2b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9f2ad93 elementor-widget elementor-widget-text-editor\" data-id=\"9f2ad93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nissen fundoplication (posterior 360\u00b0 cuff)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57f209a elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"57f209a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"336\" height=\"441\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/nissen-fundoplikatio-bild-7-EN-korrigiert.jpg\" class=\"image wp-image-16685  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"nissen-fundoplikatio-operation\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/nissen-fundoplikatio-bild-7-EN-korrigiert.jpg 336w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/nissen-fundoplikatio-bild-7-EN-korrigiert-229x300.jpg 229w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-c91102e\" data-id=\"c91102e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9e18786 elementor-widget elementor-widget-text-editor\" data-id=\"9e18786\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Toupet fundoplication (posterior 270\u00b0 cuff)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4ef1a4 elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"a4ef1a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"336\" height=\"441\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/toupet-fundoplikatio-bild-8-EN-korrigiert.jpg\" class=\"image wp-image-16686  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"toupet-fundoplikatio\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/toupet-fundoplikatio-bild-8-EN-korrigiert.jpg 336w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/toupet-fundoplikatio-bild-8-EN-korrigiert-229x300.jpg 229w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-14642d5 elementor-section-full_width qodef-elementor-content-grid elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"14642d5\" data-element_type=\"section\" data-e-type=\"section\" id=\"bicorn\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-33c0821\" data-id=\"33c0821\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-33f4ac5 elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"33f4ac5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1461\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_1_before_the_procedure.jpg\" class=\"image wp-image-16657  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"BICORN_1_mit_beschriftung_und_korrekturen\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_1_before_the_procedure.jpg 1200w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_1_before_the_procedure-246x300.jpg 246w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_1_before_the_procedure-841x1024.jpg 841w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_1_before_the_procedure-768x935.jpg 768w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07e16b7 elementor-widget__width-initial elementor-widget elementor-widget-wp-widget-media_image\" data-id=\"07e16b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-media_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1461\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_3_after_the_procedure.jpg\" class=\"image wp-image-16723  attachment-full size-full\" alt=\"\" style=\"max-width: 100%; height: auto;\" title=\"BICORN_3_mit_luft\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_3_after_the_procedure.jpg 1200w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_3_after_the_procedure-246x300.jpg 246w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_3_after_the_procedure-841x1024.jpg 841w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/05\/BICORN_3_after_the_procedure-768x935.jpg 768w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fd3992a\" data-id=\"fd3992a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32a3aa3 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"32a3aa3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tReconstructive, Function-Preserving Procedures\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d6b820 elementor-widget elementor-widget-text-editor\" data-id=\"1d6b820\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Reconstructive concepts follow a fundamentally different approach.<\/p><p>The focus is on restoring normal anatomical conditions while preserving the physiological relaxation capacity of the gastroesophageal junction.<\/p><p>The goal of surgery is complete symptom relief and avoidance of long-term medical therapy.<\/p><h4>Classical BICORN Procedure<\/h4><p><span style=\"margin-top: -25px; display: block;\">(first described in 2004 by Bernd Ablassmaier)<\/span><\/p><p>The classical BICORN procedure is a reconstructive surgical concept.<\/p><p>It includes\u2014where necessary\u2014the tension-free repositioning of a hiatal hernia with restoration of esophageal length and reconstruction of the enlarged hiatus. Subsequently, the angle of His is selectively reduced. <\/p><p>No wrap is created.<\/p><h4>Modified BICORN Procedure<\/h4><p><span style=\"margin-top: -25px; display: block;\">(further developed in 2014 by Mischa Feigel)<\/span><\/p><p>The modified BICORN procedure represents a further development of this reconstructive concept.<\/p><p>The aim is a stable and long-term reliable reconstruction of the gastroesophageal junction while preserving its physiological function.<br\/>Through tension-free functional fixation of the esophagus at the level of the diaphragmatic hiatus, anatomical stability is improved and the risk of recurrence reduced.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-956aa36 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"956aa36\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d6ec0e9\" data-id=\"d6ec0e9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fa5da2 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"9fa5da2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tPhysiological Reconstruction and Functional Stabilization\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f1ca32 elementor-widget elementor-widget-text-editor\" data-id=\"5f1ca32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Under normal conditions, intragastric pressure increases during belching or vomiting, while the gastroesophageal junction simultaneously relaxes. This coordinated relaxation allows controlled release of air or gastric contents. <\/p><p>Wrap-based procedures create a circumferentially fixed pressure barrier. The physiological relaxation capacity is largely lost. As intragastric pressure increases, pressure within the wrap also rises. As a result, belching is often impaired, and vomiting is usually significantly restricted.  <\/p><p>For repositioning of a hiatal hernia, the anatomical attachments between the esophagus and diaphragm must be released within the operative field. This is followed by precise reconstruction of the diaphragmatic hiatus. <\/p><p>In the modified BICORN procedure, no gastric wrap is created. The goal is to restore anatomical and functional conditions while preserving physiological function. <\/p><p>The angle of His is selectively reconstructed with slight accentuation. The fundus lies adjacent to the distal esophagus. As gas rises within the stomach, the junction is gently compressed from the left, resulting in functional narrowing. This does not create a rigid wrap, but rather a dynamically functioning pressure zone.   <\/p><p>The goal is long-term control of reflux while preserving the natural ability to belch and vomit. This functional integrity is a key factor for postoperative quality of life. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19cc7f2 elementor-widget elementor-widget-text-editor\" data-id=\"19cc7f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5 style=\"margin-bottom: 10px;\">Mesh Reinforcement in Selected Cases<\/h5><p>In most patients, the hiatal opening can be reconstructed securely using sutures alone. Only in a small minority of cases, such as very large hiatal hernias, recurrent defects, poor tissue quality, or when excessive tension remains on the repair despite careful reconstruction, additional mesh reinforcement may be considered. <\/p><p>Different mesh materials are available, including absorbable, partially absorbable, and permanent meshes. Each option has specific advantages and potential drawbacks that must be considered on an individual basis.  <\/p><p>The possible use of a mesh is generally discussed with patients before surgery. Occasionally, however, the final decision can only be made during the procedure, once the anatomy, tissue quality, and tension on the repair have been fully assessed. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6b426f6\" data-id=\"6b426f6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d85651 elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"2d85651\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-2-scaled-460x700.jpg\" alt=\"\" width=\"460\" height=\"700\" data-ratio=\"0.65714285714286\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8885524 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"8885524\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f68c6b4\" data-id=\"f68c6b4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4aa7d9b elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"4aa7d9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h4 class=\"qodef-m-title\" >\n\t\t\t\t\tImplant-Based Systems (Not Used in Our Center)\t\t\t<\/h4>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f2c81df elementor-widget elementor-widget-text-editor\" data-id=\"f2c81df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In recent years, various implantable systems have been developed to mechanically support the gastroesophageal junction, including magnetic ring devices and other permanent implants. <\/p><p>These approaches differ conceptually from anatomical reconstructive surgery. The use of foreign material introduces specific considerations and requires careful individual evaluation. <\/p><p>Implant-based procedures are not part of our treatment concept.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c6608ef elementor-hidden-tablet elementor-hidden-mobile\" data-id=\"c6608ef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1fb762b elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"1fb762b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3490170\" data-id=\"3490170\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-724b596 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"724b596\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tWhat You Can Expect From Surgery\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d582df7 elementor-widget elementor-widget-text-editor\" data-id=\"d582df7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The goal of the modified BICORN procedure is to eliminate reflux symptoms, allow healing of reflux esophagitis, and enable long-term symptom-free living.<\/p><p>Typical symptoms such as heartburn, acid sensation, regurgitation, volume reflux, retrosternal burning, or nocturnal cough usually improve significantly or resolve completely.<\/p><p>By restoring normal anatomy at the gastroesophageal junction, the mechanical cause of reflux is addressed.<\/p><p>Symptoms of so-called silent reflux\u2014such as hoarseness, throat clearing, foreign body sensation, or throat irritation\u2014also improve in most cases, although often more gradually than classic symptoms.<\/p><p>In most cases, long-term use of PPIs is no longer required after surgery.<\/p><p>In patients with Barrett\u2019s esophagus, regular endoscopic surveillance remains necessary depending on its extent, regardless of symptom control.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1d40452\" data-id=\"1d40452\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f28827a elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"f28827a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/11\/stiller_reflux_1-460x700.jpg\" alt=\"\" width=\"460\" height=\"700\" data-ratio=\"0.65714285714286\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a994b7 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"5a994b7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5280c7c\" data-id=\"5280c7c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b28f46e elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"b28f46e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tRisks and Potential Complications\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-429d182 elementor-widget elementor-widget-text-editor\" data-id=\"429d182\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The vast majority of procedures are performed without complications. Nevertheless, potential risks are discussed transparently, as clear information is the basis for an informed decision. <\/p><p>Each procedure is preceded by personal counseling and explicit informed consent; written documentation is standard medical and legal practice.<\/p><p>General risks include bleeding, infection, thrombosis, or pulmonary embolism. These are rare; appropriate prophylactic measures are routinely implemented during hospitalization. <\/p><p>Specific risks include injury to the esophagus or stomach and, rarely, adjacent structures such as the spleen, liver, diaphragm, lung, or major vessels.<\/p><p>In rare cases, the vagus nerve may be affected. This can lead to delayed gastric emptying or narrowing at the gastric outlet, which may present as early satiety or fullness. If necessary, this can be treated endoscopically or with an additional minimally invasive procedure. Residual symptoms cannot be completely excluded in every case.   <\/p><p>Recurrence of reflux or hiatal hernia is rare but possible. The underlying cause is connective tissue weakness, which cannot be corrected surgically. Careful surgical technique reduces this risk but cannot eliminate it completely.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2578183\" data-id=\"2578183\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d06fb1 elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"0d06fb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/feigel-buero-460x700.jpg\" alt=\"\" width=\"460\" height=\"700\" data-ratio=\"0.65714285714286\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e58de2f elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"e58de2f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-06500a9\" data-id=\"06500a9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9737bd5 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"9737bd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tSurgical Experience and Specialized Center Team\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f84b84 elementor-widget elementor-widget-text-editor\" data-id=\"3f84b84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>As a visceral surgeon, I have been involved in the treatment of reflux disease for over 30 years. Through this specialisation, I have performed well over 1,000 antireflux operations. <\/p><p>For many years, laparoscopic Toupet fundoplication was my standard procedure. Reflux control was reliable; however, as is known with wrap-based procedures, functional side effects such as impaired belching, bloating (gas-bloat syndrome), or inability to vomit were common. <\/p><p>Based on these experiences, I specifically further developed and decisively refined the reconstructive approach of the classic BICORN procedure\u2014into the modified BICORN procedure I use today. Since 2014, this technique has been the focus of my surgical work in reflux surgery. <\/p><p>I have now performed many hundreds of these reconstructive procedures\u2014with consistently good clinical outcomes and high patient satisfaction. Thanks to the function-preserving approach, the physiological ability to belch air and to vomit is generally maintained, which contributes significantly to quality of life. <\/p><p>Part of my work also includes recurrence and revision surgery. Such procedures place special demands on surgical experience and anatomical understanding and should be reserved for specialised surgeons with proven expertise in reflux surgery. <\/p><p>The procedures are performed with my specialised reflux surgery center team, consisting of experienced specialists with whom I have worked closely for many years. This continuity of personnel ensures well-coordinated processes and a structured four-eye principle as an additional safety measure. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7c9e8dc\" data-id=\"7c9e8dc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-209bb2b elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"209bb2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/06\/operation-stimmungsbild-5-zugeschnitten-460x700.jpg\" alt=\"\" width=\"460\" height=\"700\" data-ratio=\"0.65714285714286\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8cb02a8 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"8cb02a8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9211405\" data-id=\"9211405\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b9bfdef elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"b9bfdef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tFrequently Asked Questions\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8bb8eea elementor-widget elementor-widget-qi_addons_for_elementor_faq\" data-id=\"8bb8eea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"qi_addons_for_elementor_faq.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m qodef-qi-faq qodef-qi-clear qodef-behavior--accordion qodef-layout--simple qodef-style--boxed\">\n\t<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tDo I need to continue taking reflux medication after surgery?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>Following successful surgical restoration of the anatomical conditions, long-term use of acid-suppressing medication is generally no longer required.<\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tWill I still be able to belch or vomit after surgery?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>A key objective of the surgical technique is to preserve the natural function of the gastroesophageal junction. In the vast majority of cases, both the ability to belch and the ability to vomit are preserved. <\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tIs the procedure durable, or can reflux recur?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>In most cases, surgical treatment results in sustained symptom relief. Recurrence of reflux symptoms is possible in principle but overall very rare. <\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tWhat are the risks associated with the procedure?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>As with any surgical intervention, general risks such as bleeding, infection, or injury to adjacent structures exist. The procedure itself is well established and associated with an overall very low complication rate. <\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tWho is a suitable candidate for surgical treatment of reflux disease?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>Surgical treatment may be particularly appropriate for patients in whom conservative and medical therapies are insufficiently effective, not well tolerated, or when there is a desire to avoid long-term medication.<\/p><p>Patients with mechanically induced reflux of gastric contents or acid extending into the upper chest, throat, or mouth\u2014particularly when lying down\u2014tend to benefit most. In these cases, surgical restoration of the anatomical and physiological conditions may result in complete symptom resolution. <\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tHow is the procedure performed, and how long is the recovery in the hospital?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>The procedure is performed using a minimally invasive approach. The hospital stay typically lasts two nights. Recovery continues gradually over several weeks, during which physical exertion should be temporarily limited.  <\/p>\t<\/div>\n<\/div>\n<h5 class=\"qodef-e-title-holder\">\n\t<span class=\"qodef-e-title\">\n\t\t\t\tWhat diagnostic evaluation is required prior to surgery?\t<\/span>\n\t\t<span class=\"qodef-e-mark\">\n\t\t<span class=\"qodef-icon--plus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t\t<span class=\"qodef-icon--minus\">\n\t\t\t\t<span class=\"qodef-e-icon\">\n\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t<\/span>\n\t\t\t<\/span>\n\t<\/span>\n\t<\/h5>\n<div class=\"qodef-e-content\">\n\t<div class=\"qodef-e-content-inner\">\n\t\t<p>A thorough preoperative evaluation is essential. This includes a detailed medical history and physical examination. <\/p><p>Upper endoscopy (gastroscopy) and assessment of esophageal motility using high-resolution esophageal manometry are mandatory.<\/p><p>Depending on the findings, additional testing may include measurement of acid exposure, either by 24-hour impedance-pH monitoring or by a 48-hour pH study using a BRAVO capsule.<\/p><p>In selected cases, contrast radiography of the esophagus and the gastroesophageal junction may be performed. Further diagnostic tests are guided by the individual clinical situation. <\/p>\t<\/div>\n<\/div>\n<\/div>\n\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Do I need to continue taking reflux medication after surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Following successful surgical restoration of the anatomical conditions, long-term use of acid-suppressing medication is generally no longer required.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will I still be able to belch or vomit after surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>A key objective of the surgical technique is to preserve the natural function of the gastroesophageal junction. 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This includes a detailed medical history and physical examination. <\\\/p><p>Upper endoscopy (gastroscopy) and assessment of esophageal motility using high-resolution esophageal manometry are mandatory.<\\\/p><p>Depending on the findings, additional testing may include measurement of acid exposure, either by 24-hour impedance-pH monitoring or by a 48-hour pH study using a BRAVO capsule.<\\\/p><p>In selected cases, contrast radiography of the esophagus and the gastroesophageal junction may be performed. Further diagnostic tests are guided by the individual clinical situation. <\\\/p>\"}}]}<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d9107d elementor-section-full_width elementor-section-content-middle qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"3d9107d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf2e3d5\" data-id=\"bf2e3d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8cf1912 elementor-widget-tablet__width-initial elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"8cf1912\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Do you have any questions? Contact us. <\/span><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fba219a elementor-widget-tablet__width-initial elementor-widget elementor-widget-promedica_core_button\" data-id=\"fba219a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"qodef-shortcode qodef-m  qodef-button qodef-layout--filled qodef-size--large qodef-html--link \" href=\"https:\/\/refluxkrankheit.ch\/en\/contact\/\" target=\"_self\"  >\n\t<span class=\"qodef-m-text\">Contact<\/span>\n<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ab55662 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"ab55662\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0172823\" data-id=\"0172823\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44cbe1b elementor-widget elementor-widget-text-editor\" data-id=\"44cbe1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Learn more about the therapy<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9a01b77\" data-id=\"9a01b77\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e6a60cb elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"e6a60cb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-2315948\" data-id=\"2315948\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-933eb66 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"933eb66\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/\" target=\"_self\">\n\t\n\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/feigel_operationslampe_headerbild-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/\" target=\"_self\">\n\t\t\t\t\tManagement of Reflux Disease\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-aca2c4d\" data-id=\"aca2c4d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-05e43b3 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"05e43b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/comparison-of-surgical-procedures\/\" target=\"_self\">\n\t\n\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/feigel_chirurgie_headerbild-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/comparison-of-surgical-procedures\/\" target=\"_self\">\n\t\t\t\t\tComparison of Surgical Procedures\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-dab5a5f\" data-id=\"dab5a5f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7b81c2e elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"7b81c2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/aftercare\/\" target=\"_self\">\n\t\n\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/feigel-nachbehndlung-headerbild-zugeschnitten-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/aftercare\/\" target=\"_self\">\n\t\t\t\t\tPostoperative Course\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>When is Surgery Indicated? Persistent symptoms or recurrence despite appropriate medical therapy Insufficient response to medical treatment or relevant side effects Patients who do not wish to remain on long-term medication Very large hiatal hernias (mechanical impairment, risk of incarceration) Patients with concerns regarding long-term effects of medical therapy Desire to correct the underlying mechanical [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":16879,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-full-width.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-16881","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Surgical Treatment - Reflux Surgery - Center for Visceral Surgery and Bariatrics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/refluxkrankheit.ch\/en\/therapy\/surgical-therapy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Surgical Treatment - Reflux Surgery - Center for Visceral Surgery and Bariatrics\" \/>\n<meta property=\"og:description\" content=\"When is Surgery Indicated? 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