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  • All about robotic anti-reflux surgery

All about robotic anti-reflux surgery

Mr Nima Abbassi-Ghadi
Written in association with: Mr Nima Abbassi-Ghadi Consultant Upper GI Surgeon in Central London
4.9 |

31 reviews

Published: 17/09/2025 Edited by: Conor Lynch on 06/10/2025

Robotic anti-reflux surgery is a cutting-edge, minimally invasive procedure used to treat gastroesophageal reflux disease (GERD), a condition where stomach acid flows back into the oesophagus, causing heartburn and other symptoms. When lifestyle changes and medications fail to provide relief, surgery becomes a viable option. The robotic approach enhances the precision and control of traditional laparoscopic methods, offering patients improved outcomes and faster recovery.


This surgery is typically performed using the da Vinci Surgical System, a robotic platform that allows surgeons to operate through small incisions with enhanced visualisation and dexterity. The most common procedure done robotically for GERD is Nissen fundoplication, where the top part of the stomach is wrapped around the lower oesophagus to strengthen the valve between the oesophagus and stomach, preventing acid reflux.


The advantages of robotic surgery include smaller incisions, less pain, reduced blood loss, and quicker return to normal activities. The high-definition 3D imaging and robotic arms mimic the surgeon’s hand movements with greater precision, minimizing complications and improving the consistency of the procedure.


Robotic anti-reflux surgery is particularly beneficial for patients with complex anatomy, obesity, or those undergoing repeat procedures. Recovery time varies but is typically shorter compared to traditional open surgery, with many patients resuming normal activities within a week.


Although highly effective, the procedure is not suitable for everyone. Proper diagnosis, including pH testing and oesophageal manometry, is essential before considering surgery. Patients should consult with a gastroenterologist and a surgeon experienced in robotic techniques to determine the best treatment path.


In conclusion, robotic anti-reflux surgery represents a significant advancement in the surgical treatment of GERD, combining technology with surgical expertise to improve patient care and long-term outcomes.

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