Certified Surgical First Assistant (CSFA) Practice Test 2025 – All-in-One Comprehensive Study Guide for Exam Success!

Question: 1 / 610

In a Nissen procedure, which section of the stomach is wrapped around the esophagus?

Body

Pylorus

Fundus

In a Nissen procedure, the fundus of the stomach is wrapped around the esophagus to create a tighter junction between the esophagus and the stomach. This technique is primarily used to treat gastroesophageal reflux disease (GERD) by preventing the backflow of stomach contents into the esophagus. The fundus, being the uppermost part of the stomach, provides adequate tissue to encircle the esophagus without compromising the stomach's ability to digest food.

The body of the stomach contains the bulk of the stomach's contents but is not primarily involved in the anchoring process of the esophagus during the Nissen procedure. The pylorus, the region of the stomach that connects to the duodenum, and the cardia, which is the area nearest to the esophagus, do not provide the necessary ample tissue needed for the fundoplication. Thus, it is the fundus that plays a crucial role in establishing a functional barrier to reflux in this surgical procedure.

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