What is the name of this fundoplication?
**Core Concept**
Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) by wrapping the upper portion of the stomach (fundus) around the lower portion of the esophagus. This creates a barrier to prevent stomach acid from flowing back into the esophagus.
**Why the Correct Answer is Right**
The correct type of fundoplication is a Nissen fundoplication. This procedure involves wrapping the fundus 360Β° around the esophagus, creating a complete anti-reflux barrier. The wrap is secured with sutures to prevent the stomach from slipping back into its normal position. The Nissen fundoplication is the most commonly performed type of fundoplication and has been shown to be effective in reducing symptoms of GERD.
**Why Each Wrong Option is Incorrect**
* **Option B:** The Belsey mark IV fundoplication is another type of fundoplication, but it involves a partial wrap of the fundus around the esophagus, which is different from the Nissen procedure.
* **Option C:** The Toupet fundoplication is a partial wrap procedure, similar to the Belsey mark IV, but it is less commonly performed than the Nissen fundoplication.
* **Option D:** There is no widely recognized fundoplication procedure by this name.
**Clinical Pearl / High-Yield Fact**
It's essential to note that the choice of fundoplication procedure depends on the patient's individual anatomy and symptoms. The Nissen fundoplication is often recommended for patients with severe GERD, while partial wrap procedures may be used for patients with milder symptoms.
**Correct Answer: Nissen fundoplication.**