Dr. Vihan Gautam is a distinguished Rehabilitation Specialist and Healthcare Management Professional, holding a Bachelor of Physiotherapy (BPT) from Rajiv Gandhi University of Health Sciences and a Master of Science in Healthcare Management (MSc) from the prestigious University of London, United Kingdom. With specialized clinical experience and his advanced medical knowledge in neuro-rehabilitation, musculoskeletal disorders, and evidence-based physiotherapy practices, enables him to develop patient-centered rehabilitation protocols and AI-driven care models that deliver measurable functional recovery outcomes. His diverse contributions across international rehabilitation programs, multidisciplinary care, and AI-driven healthcare initiatives uniquely position him as an emerging leader in neuro-rehabilitative care globally.

Reviewer

Dr. Ashish George

Gastroenterologist

18 Years of Experience

Last Reviewed - June 2026

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh.

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AFRICAN FERTILITY CENTRE (AFC)

Casablanca, Morocco

38+ Procedures

ISO

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Process Involved for Nissen Fundoplication in Casablanca

GERD diagnosis and severity assessment
Testing prior to surgery (manometry, pH monitoring, endoscope)
Planning for surgery
Method (fundoplication ± correction of a hiatal hernia)
Recuperation after surgery and diet advancement
Monitoring to manage reflux symptoms

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Severe GERD
Reflux with hiatal hernia
Esophageal reflux
Barrett's oesophagus (in certain instances)
Aspiration or coughing due to reflux

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Laparoscopic Nissen Fundoplication (the most common).
Nissen Fundoplication is open.
Fundoplication with robotic assistance
In certain situations, partial fundoplication (Toupet/Dor)

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In {country}, for medical treatment:

Verifiable proof of identity (passport or visa for foreign patients)
Diagnostic reports (manometry, pH analysis, endoscopy)
Consent forms for anaesthesia and surgery
Documentation related to insurance (if appropriate)

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Patients may be eligible if:

Despite taking medication, GERD symptoms continue.
The patient has Barrett's changes, strictures, and oesophagitis as reflux consequences.
There is a large hiatal hernia.
The patient would rather have surgery than take medication for life.
The patient is ready for surgery and anaesthesia.

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Hiatal hernia repair
Endoscopy (follow-up and diagnostic)
Dilatation of the oesophagus (if stricture is present)

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Long-term or permanent management of reflux
Oesophagitis healing
Decreased long-term GERD complications
Reduced reliance on acid suppressants

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After a successful fundoplication

Regurgitation and heartburn considerably lessen
Reflux lessens at night.
After the initial recuperation, swallowing gradually gets better.
Better quality of life and sleep

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