What type of doctor performs a Nissen fundoplication?
A gastroenterologist may recommend transoral incisionless fundoplication to treat a patient who has GERD symptoms that are not managed well with other treatments such as antacids and drugs called proton pump inhibitors (PPIs).
Who is not a candidate for Nissen fundoplication surgery?
At Houston Heartburn and Reflux Center, very few acid reflux patients are not candidates for Nissen fundoplication, the gold standard treatment for GERD. Weak motility and previous Nissen fundoplication surgery are not absolute contraindications for Nissen fundoplication surgery.
Is fundoplication a major surgery?
Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding. Infection.
What happens if fundoplication is too tight?
If the wrap is too tight, there may be persistent difficulty in swallowing. This can occur in 20% of patients immediately after surgery but drops to about 5% after one to two months. Four percent of patients will need dilation of the esophagus.
Who performs fundoplication surgery?
A general surgeon performs acid reflux surgery (fundoplication). General surgeons specialize in the surgical care of diseases, injuries and deformities affecting the abdomen, breasts, digestive tract, endocrine system and skin.
How many years does a Nissen fundoplication last?
Conclusion: Laparoscopic Nissen fundoplication produces control of symptoms in 80% of patients late (up to 15 years) after surgeries corroborated by endoscopic, histologic examinations, and functional studies.
How many years does Nissen fundoplication last?
Does fundoplication reduce stomach size?
Answer. The Nissen/Fundoplication is not considered a treatment for obesity. While some of the stomach is used to wrap the esophagus it does not cause a significant difference in stomach size.
Can you live a normal life after Nissen fundoplication?
We demonstrated a great response rate of 77.1%, with a mean follow-up of 3.7 years. In this study, we found excellent quality of life after Nissen fundoplication. Nissen fundoplication has been proven effective in reducing GERD and preventing recurrence, even at the long-term follow-up.
How long does dysphagia last after fundoplication?
Transient dysphagia occurs in 40% to 70% of patients after Nissen fundoplication. This is thought to be secondary to edema at the gastroesophageal junction (GEJ) or transient esophageal hypomotility. Fortunately, dysphagia usually resolves spontaneously within 2 to 3 months.
What are the long term side effects of Nissen fundoplication?
Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms. Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may also limit the success of antireflux surgery.
How painful is fundoplication surgery?
Pain. There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation.
How much weight do you lose after fundoplication?
Twelve months after LNF, neither a tendency toward a renewed increase nor a further decrease in BMI was observable. The average body weight loss was 3.9 kg. BMI reduction was higher in women than in men (p < 0.002), and obese patients lost more weight than lean patients (p < 0.001).
Do people lose weight after fundoplication?
Conclusion: Fundoplication combined with mediogastric plication produced a total recovery from gastroesophageal reflux disease and an excess weight loss of 62% in 87.5% of patients after 1 year of follow-up.
Why can’t I eat chocolate after Nissen fundoplication?
Eat desserts and sweets at the end of your meal to avoid “dumping syndrome.” This describes the rapid emptying of foods from the stomach to the small intestine. Sweets move more rapidly and dump quickly into the intestines. This can cause symptoms of nausea, weakness, cold sweats, cramps, diarrhea, and dizzy spells.
Can you swallow pills after fundoplication?
Medicine use
If you are given pills, crush them and swallow them with liquids. But some pills can’t or shouldn’t be crushed. Be sure to check with your healthcare provider or pharmacist before crushing pills. If you are given pain medicine, take it on time as directed.
How long does chest pain last after fundoplication?
Your Recovery
You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.
How many years does a fundoplication last?
Although widely quoted, the study of DeMeester et al,3 which demonstrated a positive outcome for 91% of patients undergoing open Nissen fundoplication, extrapolated a 10-year outcome through an actuarial analysis with a series that reported an average follow-up of 45 months.
How many years does fundoplication surgery last?
Can you eat pizza after Nissen fundoplication?
The foods to avoid are breakfast cereals with hard dry pieces of fruit or nuts e.g. muesli, bread, muffins, crumpets, bagels, pizza, potato chips, corn chips, raw vegetables, large fruit pips (kiwifruit pips okay) fruit skins, nuts, seeds, popcorn, cooked fibrous vegetables e.g. cabbage, celery, sweetcorn, beans, tough …
Can you vomit with a fundoplication?
I have found that most of my patients have excellent control of their GERD symptoms with a fundoplication wrap that still allows the majority of them to belch and vomit.
How much weight do you lose after hiatal hernia surgery?
Patients are counseled that they will likely lose 10–15 pounds during the first 4–6 weeks after surgery before the nadir of weight loss (2). Our post-esophageal surgery dietary instruction also includes methods for boosting protein and caloric intake if needed.
Is your stomach smaller after Nissen fundoplication?
The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat. In 2 to 3 months, the stomach adjusts. You will be able to eat your usual amounts of food.