CPT® Code 43327

A partial or complete esophagogastric fundoplasty is a surgical procedure aimed at addressing a sliding hiatal hernia, which occurs when a portion of the stomach protrudes through the diaphragm into the chest cavity. This procedure can be performed using an abdominal approach, referred to as laparotomy, or a transthoracic approach. In the laparotomy method, the surgeon may utilize a complete (360-degree) wrap, known as a Nissen fundoplication, or a partial (270-degree) wrap, referred to as a Toupet fundoplication. The complete fundoplasty involves fully encircling the esophagus with the upper part of the stomach (the fundus), while the partial fundoplasty entails a looser wrap that only partially encircles the esophagus. The surgical process begins with a midline incision in the abdomen, allowing access to the esophageal hiatus, where the hernia is located. The procedure requires careful dissection and mobilization of the stomach to facilitate the wrapping and suturing of the fundus around the esophagus, ultimately repairing the hernia and preventing future complications. This intervention is critical for alleviating symptoms associated with the hernia, such as gastroesophageal reflux, and improving the patient's quality of life.