The first seven steps in a Guarner fundoplication are identical to the first seven in a Nissen fundoplication. The wrap, however, differs in that it extends around only 240º to 280º of the ...

Since many patients experience worsening gastroesophageal reflux after a Heler myotomy, typically the surgeon will also perform a fundoplication (stomach wrap) at the same time to minimize this risk.

Common surgeries, according to Northwestern Medicine, include Nissen fundoplication — in which the upper part of the stomach is wrapped around the lower esophageal sphincter in order to fix a ...