Fundoplication is a surgery used to help correct
gastroesophageal reflux disease (GERD). If a sliding
hiatal hernia has contributed to the development of
GERD, the hernia will be fixed during this surgery. In this case, the hernia is
pulled down from the chest and stitched (sutured) so that it remains within the
abdomen. The hiatus (the opening in the diaphragm that the esophagus passes
through) may also be tightened.
Surgery is not necessary for a sliding hiatal hernia with no
symptoms, or when GERD symptoms can be successfully treated with
medications.
For more information, see the topic Gastroesophageal Reflux Disease
(GERD).