One differentiates between different forms of gastropexy:
- posterior gastropexy according to Hill (Fuchs 1997): Here the gastric wall folds are fixed to the preaortic membrane in the course of a valvuloplasty (Siewert 1981). However, the success of this surgical procedure was limited because it led to many recurrences (Fuchs 1997).
- Anterior gastropexy according to Boerema (Fuchs 1997): In this procedure, the small curvature is attached to the anterior abdominal wall for fixation of the stomach. The cardia and possibly part of the abdominal esophagus are subsequently fixed to the lateral abdominal wall (Blum 1981).
- Gastropexy according to Nissen: In this procedure, the large gastric curvature is fixed to the anterior abdominal wall first, followed by the small curvature to the parietal peritoneum (Blum 1981).
Bittner (2018) recommends anterior gastropexy in addition to fundoplication as an additional measure to reduce the recurrence rate.