Endoscopic atlas of fundoplication

  • Gregory L. FalkEmail author
  • Trevor J. D’Netto
  • Sophia C. Little
letter to the editor

Dear Editor,

Due to the high frequency of laparoscopic anti-reflux surgery, many medical gastroenterologists are seeing patients after surgery and performing endoscopy. There is a variable level of experience among medical endoscopists.

This letter aims to help the medical endoscopist understand the surgical structure of fundoplication as well as possible defects.


The appearances of fundoplication are not necessarily familiar to many gastrointestinal medical practitioners investigating patients for oesophagogastric symptoms. This brief description has been formulated as an aid to management for non-surgical gastroenterology practitioners. Appearances of normal and abnormal cardio-oesophageal junctions and normal and various disrupted fundoplications are included.

Endoscopic images

Hiatus hernia

Showing the crural impression which moves on breathing, with the stomach draped over each margin and entering the chest (Fig.  1).


Compliance with ethical guidelines

Conflict of interest

G.L. Falk, T.J. D’Netto and S.C. Little declare that they have no competing interests.

Ethical standards

Prospective patient data were collated from a password-protected practice database and collated for publication. The database was approved by the institutional ethics committee (CH62/6/2011-092).


  1. 1.
    Hill LD, Kozarek RA, Kraemer SJ, et al. The gastroesophageal flap valve: in vitro and in vivo observations. Gastrointest Endosc. 1996;44(5):541–7.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Sydney Heartburn ClinicLindfieldAustralia
  2. 2.Upper Gastrointesitinal SurgeryConcord Repatriation HospitalConcordAustralia
  3. 3.Sydney UniversitySydneyAustralia
  4. 4.Sydney Adventist HospitalWahroongaAustralia

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