{"id":18716,"date":"2026-07-02T10:14:10","date_gmt":"2026-07-02T08:14:10","guid":{"rendered":"https:\/\/refluxkrankheit.ch\/?page_id=18716"},"modified":"2026-07-09T15:08:27","modified_gmt":"2026-07-09T13:08:27","slug":"comparison-of-surgical-procedures","status":"publish","type":"page","link":"https:\/\/refluxkrankheit.ch\/en\/therapy\/comparison-of-surgical-procedures\/","title":{"rendered":"Comparison of Surgical Procedures"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"18716\" class=\"elementor elementor-18716 elementor-18715\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f79a7c3 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"f79a7c3\" 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-6ee66c2\" data-id=\"6ee66c2\" 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-7cfed50 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"7cfed50\" 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\tFundoplication and Modified BICORN Procedure \u2013 Comparison\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-fc3ad24 elementor-widget elementor-widget-html\" data-id=\"fc3ad24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<table class=\"table-style-normal generated-table\">\n  <thead>\n    <tr>\n      <th class=\"tgp-style-1\">Aspect\n<\/th>\n<th class=\"tgp-style-1\">Fundoplication (wrap procedure)\n<\/th>\n<th class=\"tgp-style-1\">Modified BICORN procedure\n<\/th> \n    <\/tr>\n  <\/thead>\n  <tbody>\n    <tr>\n      <td class=\"tgp-style-1\">Principle<\/td>\n\n<td class=\"tgp-style-1\">The upper part of the stomach is wrapped partially or completely around the esophagus<\/td>\n\n<td class=\"tgp-style-1\">Anatomical reconstruction of the natural junction without a wrap<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Mechanism against reflux\n<\/td>\n<td class=\"tgp-style-1\">Artificially increased pressure zone<\/td>\n\n<td class=\"tgp-style-1\">Reconstruction and stabilization of the physiological valve mechanism (angle of His)<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Mobility of the junction\n<\/td>\n<td class=\"tgp-style-1\">Circumferentially fixed, cannot adapt, only stretch<\/td>\n\n<td class=\"tgp-style-1\">Remains mobile and functionally flexible<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Belching<\/td>\n\n<td class=\"tgp-style-1\">Often impaired or not possible<\/td>\n\n<td class=\"tgp-style-1\">Usually preserved<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Vomiting\n<\/td>\n<td class=\"tgp-style-1\">Often difficult or not possible<\/td>\n\n<td class=\"tgp-style-1\">Usually preserved<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Postprandial sensation\n<\/td>\n<td class=\"tgp-style-1\">Often fullness or pressure<\/td>\n\n<td class=\"tgp-style-1\">Usually normal satiety without significant pressure<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Anatomy\n<\/td>\n<td class=\"tgp-style-1\">Alteration of natural anatomy<\/td>\n\n<td class=\"tgp-style-1\">Tension-free reconstruction of normal anatomy<\/td> \n    <\/tr>\n    <tr>\n      <td class=\"tgp-style-1\">Goal<\/td>\n\n<td class=\"tgp-style-1\">Mechanical reflux control via a wrap<\/td>\n\n<td class=\"tgp-style-1\">Stable reconstruction of the natural barrier with preservation of function<\/td> \n    <\/tr>\n  <\/tbody>\n<\/table>\n\n<style>\n\n.generated-table {\n  display:block;\n  width: 100%;\n}\n\n.generated-table th,\n.generated-table td {\n  padding: 12px 15px;\n  text-align: left;\n  color: inherit;\n  border:0;\n}\n\n.generated-table th {\n  font-weight: bold;\n}\n\n.generated-table th:nth-child(1) {\n  border-top-left-radius: 10px;\n}\n\n.generated-table th:nth-child(3) {\n  border-top-right-radius: 10px;\n}\n\n.generated-table td {\n  min-width:320px;\n}\n\n.generated-table tr {\n  border:0;\n}\n\n.generated-table tr td:first-child {\n  font-style:italic;\n}\n\n.generated-table tr:last-child {\n  border-bottom-left-radius: 10px;\n  border-bottom-right-radius: 10px;\n}\n\n.generated-table .tgp-style-1 {\n  position: relative;\n}\n\n.generated-table th { \n  background-color: rgba(85, 132, 185, 0.5); \n  color: #000;\n}\n\n.generated-table tr:nth-child(even) {\n  background-color: rgba(85, 132, 185, 0.03); \n}\n\n.generated-table tr:nth-child(odd) {\n  background-color: rgba(85, 132, 185, 0.08);\n}\n\n@media screen and (max-width: 1024px) {\n    \n  .generated-table {\n    overflow:scroll;\n  }\n\n  .generated-table::after {\n    content:\"\";\n    position: absolute;\n    top:0;\n    right:0;\n    bottom:0;\n    width:50px;\n    background: #F9F9F9;\n    background: linear-gradient(90deg,rgba(249, 249, 249, 0) 0%, rgba(249, 249, 249, 1) 100%);\n  }\n\n}\n\n<\/style>\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-f9a914e elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"f9a914e\" 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-d333ef0\" data-id=\"d333ef0\" 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-788c650 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"788c650\" 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 Belching and Vomiting\t\t\t<\/h2>\n\t\t<p class=\"qodef-m-subtitle\" style=\"font-size: 20px\">\n\tThese are not abnormal or pathological processes, but important physiological mechanisms that protect the body and relieve pressure within the stomach.\t<\/p>\n\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e3a469e elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"e3a469e\" 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-eea6d59\" data-id=\"eea6d59\" 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-436a6f0 elementor-widget elementor-widget-text-editor\" data-id=\"436a6f0\" 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>Belching<\/h4><p>Whenever we eat, drink, or speak, we inevitably swallow small amounts of air. This air collects primarily in the upper part of the stomach, known as the fundus. Without the ability to belch, pressure within the stomach would continuously increase.  <\/p><p>Belching serves as a natural mechanism to relieve this pressure and decompress the stomach. For air to escape, the junction between the esophagus and the stomach, known as the gastroesophageal junction (cardia), must briefly relax and open. This temporary reflex relaxation allows swallowed air to pass back through the esophagus and out of the body.  <\/p><p>Unlike vomiting, belching normally does not involve a forceful contraction of the stomach, diaphragm, or abdominal muscles. The key event is the temporary opening of the gastroesophageal junction. <\/p><p>The ability to belch plays an important role in preventing abdominal pressure, fullness, and excessive gas accumulation within the stomach. When this ability is impaired, patients may develop significant bloating, abdominal discomfort, painful fullness, and excessive intestinal gas (the so-called gas-bloat syndrome). <\/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-318379d\" data-id=\"318379d\" 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-327ffe4 elementor-widget elementor-widget-text-editor\" data-id=\"327ffe4\" 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>Vomiting<\/h4><p>Vomiting is likewise an important physiological protective mechanism. Its purpose is to rapidly remove potentially harmful or intolerable stomach contents from the body. <\/p><p>During vomiting, the stomach, diaphragm, and abdominal muscles contract forcefully. At the same time, the gastroesophageal junction (cardia) relaxes, allowing stomach contents to travel upward through the esophagus and out of the body in the opposite direction of normal digestion.  <\/p><p>The ability to vomit is of considerable importance. If potentially harmful or intolerable stomach contents cannot be expelled, they continue through the intestinal tract and may cause symptoms such as abdominal cramps, nausea, and diarrhea. <\/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-fe1e04d elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"fe1e04d\" 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-e28a388\" data-id=\"e28a388\" 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-a9bdcc1 elementor-widget elementor-widget-text-editor\" data-id=\"a9bdcc1\" 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>Comparison of the Anatomical and Functional Relationships<\/h3><p>The following illustrations compare the gastroesophageal junction under normal conditions, after fundoplication, and after the modified BICORN procedure. Each series demonstrates the anatomical resting configuration as well as the functional changes that occur during belching and vomiting. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d20bdf3 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"d20bdf3\" 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-82ac49b\" data-id=\"82ac49b\" 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-b132e31 elementor-widget elementor-widget-text-editor\" data-id=\"b132e31\" 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><strong>Normal Anatomy:<\/strong><\/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-594230d elementor-widget elementor-widget-image\" data-id=\"594230d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/1Magen_normal-1-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18731\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/1Magen_normal-1-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/1Magen_normal-1-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/1Magen_normal-1-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/1Magen_normal-1.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Under normal conditions, the gastroesophageal junction acts as the body's natural barrier against acid reflux. This barrier depends on the coordinated interaction of several anatomical structures, including the muscles of the esophagus and stomach, the naturally acute angle of His, the connective tissue attachments between the esophagus and the diaphragm, and a normally sized opening in the diaphragm (esophageal hiatus). <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-61902aa\" data-id=\"61902aa\" 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-e4fd9d9 elementor-widget elementor-widget-text-editor\" data-id=\"e4fd9d9\" 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><strong>Belching:<\/strong><\/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-dbf55d8 elementor-widget elementor-widget-image\" data-id=\"dbf55d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/3Magen_normal_aufstossen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18738\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/3Magen_normal_aufstossen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/3Magen_normal_aufstossen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/3Magen_normal_aufstossen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/3Magen_normal_aufstossen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During belching, the cardia briefly relaxes, allowing air to escape from the upper part of the stomach without significant gastric contractions. Immediately afterward, the gastroesophageal junction returns to its normal resting function.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-584dabb\" data-id=\"584dabb\" 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-ab544de elementor-widget elementor-widget-text-editor\" data-id=\"ab544de\" 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><strong>Vomiting:<\/strong><\/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-1d0d090 elementor-widget elementor-widget-image\" data-id=\"1d0d090\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/2Magen_normal_erbrechen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18744\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/2Magen_normal_erbrechen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/2Magen_normal_erbrechen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/2Magen_normal_erbrechen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/2Magen_normal_erbrechen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During vomiting, the stomach contracts forcefully, resulting in a marked increase in pressure within the stomach. At the same time, the cardia relaxes physiologically, allowing stomach contents to pass through the gastroesophageal junction. Simultaneously, the gastric fundus moves laterally, allowing vomiting to occur naturally without obstruction.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-section elementor-element elementor-element-cf3020d elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"cf3020d\" 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-33713d5\" data-id=\"33713d5\" 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-538f7f4 elementor-widget elementor-widget-text-editor\" data-id=\"538f7f4\" 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><strong>Fundoplication \u2013 Normal Anatomy:<\/strong><\/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-5b56db2 elementor-widget elementor-widget-image\" data-id=\"5b56db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/4Magen_Nissen_normal-1-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18769\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/4Magen_Nissen_normal-1-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/4Magen_Nissen_normal-1-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/4Magen_Nissen_normal-1-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/4Magen_Nissen_normal-1.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">In fundoplication, the upper part of the stomach is wrapped around the lower end of the esophagus immediately above the cardia, creating a gastric wrap. As air accumulates in the upper part of the stomach, the wrap also expands, further reinforcing the mechanical closure of the gastroesophageal junction. <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-e854791\" data-id=\"e854791\" 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-49c9a34 elementor-widget elementor-widget-text-editor\" data-id=\"49c9a34\" 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><strong>Belching after Fundoplication:<\/strong><\/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-e4b7335 elementor-widget elementor-widget-image\" data-id=\"e4b7335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/6Nissen_aufstossen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18740\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/6Nissen_aufstossen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/6Nissen_aufstossen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/6Nissen_aufstossen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/6Nissen_aufstossen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During belching, the cardia relaxes physiologically. However, the fundoplication wrap located immediately above the cardia cannot open or yield accordingly. As a result, the normal release of air is often significantly impaired and, in some patients, may no longer be possible.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-36c7708\" data-id=\"36c7708\" 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-a11ccc0 elementor-widget elementor-widget-text-editor\" data-id=\"a11ccc0\" 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><strong>Vomiting after Fundoplication:<\/strong><\/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-a7b5f9a elementor-widget elementor-widget-image\" data-id=\"a7b5f9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/5Magen_Nissen_erbrechen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18746\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/5Magen_Nissen_erbrechen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/5Magen_Nissen_erbrechen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/5Magen_Nissen_erbrechen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/5Magen_Nissen_erbrechen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During vomiting, the cardia continues to relax physiologically. However, the marked increase in pressure within the stomach further distends the fundoplication wrap, strengthening its valve effect. As a result, vomiting is often severely impaired or may even become impossible.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-section elementor-element elementor-element-4026fb7 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"4026fb7\" 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-2d44316\" data-id=\"2d44316\" 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-45f2344 elementor-widget elementor-widget-text-editor\" data-id=\"45f2344\" 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><strong>Modified BICORN Procedure \u2013 Normal Anatomy:<\/strong><\/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-e147492 elementor-widget elementor-widget-image\" data-id=\"e147492\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/7BICORN_normal-1-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18771\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/7BICORN_normal-1-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/7BICORN_normal-1-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/7BICORN_normal-1-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/7BICORN_normal-1.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Unlike fundoplication, the modified BICORN procedure restores the natural anatomy and function of the gastroesophageal junction without creating a gastric wrap. Instead, the angle of His is deliberately accentuated to strengthen the body's natural antireflux barrier. Under resting conditions, air within the upper part of the stomach gently displaces the gastric fundus toward the gastroesophageal junction, thereby providing additional support to the natural antireflux mechanism.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-42e79d8\" data-id=\"42e79d8\" 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-45f92cd elementor-widget elementor-widget-text-editor\" data-id=\"45f92cd\" 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><strong>Belching after the Modified BICORN Procedure:<\/strong><\/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-c07eabe elementor-widget elementor-widget-image\" data-id=\"c07eabe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/9BICORN_aufstossen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18742\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/9BICORN_aufstossen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/9BICORN_aufstossen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/9BICORN_aufstossen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/9BICORN_aufstossen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During belching, the cardia relaxes physiologically. Because no gastric wrap is present, the gastric fundus moves laterally, allowing air to pass freely through the gastroesophageal junction in virtually all cases. <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-inner-column elementor-element elementor-element-06065fe\" data-id=\"06065fe\" 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-92c60cf elementor-widget elementor-widget-text-editor\" data-id=\"92c60cf\" 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><strong>Vomiting after the Modified BICORN Procedure:<\/strong><\/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-7964b0c elementor-widget elementor-widget-image\" data-id=\"7964b0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1086\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/8BICORN_erbrechen-768x1086.jpg\" class=\"attachment-medium_large size-medium_large wp-image-18748\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/8BICORN_erbrechen-768x1086.jpg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/8BICORN_erbrechen-212x300.jpg 212w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/8BICORN_erbrechen-724x1024.jpg 724w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2026\/07\/8BICORN_erbrechen.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">During vomiting, the stomach contracts physiologically while the cardia relaxes. Because no gastric wrap is present, the gastric fundus moves laterally during vomiting. This allows the gastroesophageal junction to open physiologically, preserving the body's natural ability to vomit.  <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\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-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-e6ba841 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"e6ba841\" 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-e7e2d75\" data-id=\"e7e2d75\" 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-b2f494c elementor-widget elementor-widget-text-editor\" data-id=\"b2f494c\" 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-7a256f3\" data-id=\"7a256f3\" 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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-1374da3\" data-id=\"1374da3\" 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-d3671ff elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"d3671ff\" 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\/surgical-therapy\/\" 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elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ea62b2 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"8ea62b2\" 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>Fundoplication and Modified BICORN Procedure \u2013 Comparison Aspect Fundoplication (wrap procedure) Modified BICORN procedure Principle The upper part of the stomach is wrapped partially or completely around the esophagus Anatomical reconstruction of the natural junction without a wrap Mechanism against reflux Artificially increased pressure zone Reconstruction and stabilization of the physiological valve mechanism (angle of [&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-18716","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>Comparison of Surgical Procedures - 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\/comparison-of-surgical-procedures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" 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