Question 1

whats nissen fundoplication?

Accepted Answer

Acid reflux surgery: A nissen fundoplication is a surgery for gerd or acid reflux. It is usually performed laparoscopically. The main components of the surgery are repair of a hiatal hernia, if present, followed by wrapping of the upper part of the stomach (the fundus) around the esophagus. This repairs the valve between the esophagus and stomach and prevents reflux.

Question 2

what is disruption of fundoplication?

Accepted Answer

Failure: A fundoplication is a surgery to prevent reflux from the stomach to the esophagus.  The upper part of the stomach is wrapped around the lower esophagus.  A disruption is when that wrapping or folding unwraps.

Question 3

what is the nissen fundoplication wrap?

Accepted Answer

Antireflux operation: Nissen fundoplication is a commonly performed operation to prevent/decrease significant gastroesophageal reflux. The top (fundus) of the stomach is fully wrapped around the bottom of the swallowing tube (esophagus) in the abdomen to make a better valve there. It can be performed as an open operation via upper midline or left subcostal incision, or laparoscopically with 4 to 5 small trocar wounds.

Question 4

what is the meaning of nissen fundoplication?

Accepted Answer

Wrap for reflux: A nissen fundoplication is an operation for reflux. It is usually done laparoscopically. First, if a hiatal hernia is present, it is repaired. The upper portion of the stomach (fundus) is then wrapped around the esophagus forming a 360 degree valve that controls reflux.

Question 5

how to know if i risk having a nissen fundoplication?

Accepted Answer

Severe Reflux: A Nissen Fundoplication is a surgical intervention generally performed very successfully for patients with severe esophageal reflux that does not get better with more conservative medical treatments (anti-acids and proton pump inhibitors) and life-style modifications( weight loss, smoking cessation,decreased alcohol intake, smaller more frequent meals). It is performed by a general surgeon.

Question 6

what are the complications from nissen fundoplication?

Accepted Answer

There Aren't Many: There are the usual surgical complications like bleeding, infection, organ injury, etc., and risks of anesthesia like cardiac events and pneumonia.  The major complication of the nissen itself would be the failure of the operation to continue controlling reflux in the long-term.  This would be especially likely in morbidly obese people, who are better off having a rny gastric bypass for reflux.

Question 7

who is not a good candidate for nissen fundoplication?

Accepted Answer

Depends: Initial considerations are a person's general health and risks for surgery and anesthesia. Other indications to avoid surgery would be gastric or esophageal muscle disorders (gastroparesis, achalasia), scleroderma, and  those whose symptoms are not from reflux disease.

Question 8

what is the definition or description of: fundoplication?

Accepted Answer

Wrapping the stomach: A fundoplication is wrapping the top of the stomach (fundus) around and attaching it to itself. It can be a partial wrap (toupet fundoplication) or a complete wrap (nissen fundoplication). It is usually used to treat esophageal reflux (gerd).

Question 9

do i need to follow a special diet after my nissen fundoplication?

Accepted Answer

Early on, yes.: In the early postoperative period, i advise my patients to stay away from "large bolus" foods like steak until the swelling around the esophagus decreases:  think of scrambled eggs as the ideal consistency of food.  I also strongly recommend staying away from carbonated beverages as it is sometimes difficult to burp early on.  By 3-6 weeks after surgery, most people tolerate all foods.

Question 10

common problems after fundoplication? what can i do to avoid them?

Accepted Answer

Dysphagia: It is common to have dysphagia, or difficulty swallowing, for 3-6 weeks after the operation. You can avoid this by eating soft, "slippery" foods such as soups, apple sauce, and yogurt to name a few. Avoid bread and rice. As time progresses, feel free to slowly introduce more solid food into your diet, but chew it well, eat slowly, and start with small bites. Advance as tolerated. Hope this helps!

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Fundoplication

A member asked:

Whats nissen fundoplication?

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What is disruption of fundoplication?

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What is the nissen fundoplication wrap?

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What is the meaning of nissen fundoplication?

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How to know if i risk having a nissen fundoplication?

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What are the complications from nissen fundoplication?

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Who is not a good candidate for nissen fundoplication?

A member asked:

What is the definition or description of: fundoplication?

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Do i need to follow a special diet after my nissen fundoplication?

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Common problems after fundoplication? what can i do to avoid them?

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