CPT® Code 43280

A laparoscopic esophagogastric fundoplasty is a surgical procedure designed to address conditions related to the esophagus and stomach, particularly those associated with gastroesophageal reflux disease (GERD). This procedure involves the manipulation of the stomach's fundus, which is the uppermost part of the stomach, to create a barrier that prevents the backflow of stomach contents into the esophagus. There are two primary variations of this procedure: the Nissen fundoplication and the Toupet fundoplication. In the Nissen fundoplication, the fundus is completely wrapped around the esophagus, creating a full 360-degree wrap that provides a robust barrier against reflux. Conversely, the Toupet fundoplication involves a partial wrap of 270 degrees, resulting in a looser fit that may be more suitable for certain patients. The laparoscopic approach minimizes the size of incisions, leading to reduced recovery times and less postoperative pain compared to traditional open surgery. This procedure is typically performed under general anesthesia and requires careful dissection and manipulation of the surrounding anatomical structures to ensure proper placement and function of the fundoplication. The overall goal of the procedure is to alleviate symptoms of reflux while maintaining normal esophageal function.