Question 1

i had an laparoscopic nissen fundoplication procedure last week, and already i'm suffering from recurrence symptoms, my sore throat, what should i do?

Accepted Answer

Call your surgeon: The easiest and smartest answer is to talk to your surgeon first they will know your body and the nature of surgery better than any other person on the internet. Having a sore throat after a nissen is very typical especially if the surgeon had to do endoscopy during the surgery or a bougie to help size the nissen wrap. Some sucking candy may relieve the soar throat.

Question 2

why would i cough after eating even though i've had the nissen procedure and off all my meds?

Accepted Answer

Cough after food: Hello, this procedure is performed at the junction of the lower esophagus and the stomach in hopes that reflux of food and liquid back into the esophagus is eliminated. The surgical field is right adjacent to the diaphragm. With swallowing, the diaphragm is stimulated which can trigger a cough. This should resolve soon after healing is complete. If it persists, follow up with your surgeon.

Question 3

i had a nissen procedure 2.5 years ago and my pre-surgical symptoms have returned.  i would like to have a different surgeon.  comments?

Accepted Answer

2nd opinion: You didn't describe pre-surgical symptoms but presumably you were/are suffering from gerd not amenable to max dose ppi (proton pump inhibitors) & h2 blockers & antacids as well as lifestyle modification. However, you also mentioned barrett's esophagus pre-op but "last scope showed healthy tissue" but no mention of when. Bottom line, talk to your GI doc & get his/her thoughts. 2nd opinion is good.

Question 4

i am unable to burp due to nissen procedure..what can help with trapped gas in my shoulder and mid back pain?

Accepted Answer

: You may want to avoid carbonated beverages and swallow slowly. Your surgeon may be able to suggest other strategies. It is possible to train yourself to relax as best as possible.

Question 5

why would my gastro doc discourage nissen procedure when i have chronic gerd? i do not have barrett's, but am concerned about that progression. i reflux constantly. is aciphex (rabeprazole) enough to keep esophagus healed?

Accepted Answer

YOUR DOC IS RIGHT: your doctor is right. Surgery should never be taking lightly. 
Medication can take care of GERD 90-95% of the cases ,yes aciphex (rabeprazole)  can do the job.
surgery for GERD is indicated if
there is a risk of cancer
failure of medical treatment.
potential life time use of medication.
complication associated with reflux like aspiration that can cause pneumonia, chronic cough.

Question 6

is there a difference in effectiveness between the laparoscopic and open nissen fundoplications?

Accepted Answer

No: The procedure is essentially the same except the incisions and recovery is shorter.

Question 7

anyone done a nissen fundoplication laparoscopic surgery?

Accepted Answer

Many: This is a great surgery to do, and helps quite a few people.

Question 8

is laparoscopic nissen fundoplication similar to lap band?

Accepted Answer

No: A lap band is a device that wraps around the top of your stomach used to treat obesity. A fundoplication wraps the top of your stomach around itself to treat reflux.

Question 9

how do i know if i need nissen fundoplication laparoscopic surgery?

Accepted Answer

See a Surgeon: Basically, if you have documented reflux disease either by history or testing such as egd or ph probe test, then fundoplication can be considered.  Medications can help with reflux, however if you are young or the risk of surgery is minimal, the fundoplication can keep you from needing to take medications for your lifetime.  If medications don't work, then surgery can be considered.

Question 10

what is the risk of mortality for a laparoscopic nissen fundoplication ? having the surgery but feeling worried

Accepted Answer

Depends: Whether you are a child or adult and any concurrent medical problems. If you are a healthy adult without comorbid medical illnesses it is about the risk of General Anesthesia (&lt;0.1%)

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Doctor answers about:

Laparoscopic nissen procedure

A member asked:

I had an laparoscopic nissen fundoplication procedure last week, and already i'm suffering from recurrence symptoms, my sore throat, what should i do?

A member asked:

Why would i cough after eating even though i've had the nissen procedure and off all my meds?

A member asked:

I had a nissen procedure 2.5 years ago and my pre-surgical symptoms have returned. i would like to have a different surgeon. comments?

A member asked:

I am unable to burp due to nissen procedure..what can help with trapped gas in my shoulder and mid back pain?

A member asked:

Why would my gastro doc discourage nissen procedure when i have chronic gerd? i do not have barrett's, but am concerned about that progression. i reflux constantly. is aciphex (rabeprazole) enough to keep esophagus healed?

A member asked:

Is there a difference in effectiveness between the laparoscopic and open nissen fundoplications?

A member asked:

Anyone done a nissen fundoplication laparoscopic surgery?

A member asked:

Is laparoscopic nissen fundoplication similar to lap band?

A member asked:

How do i know if i need nissen fundoplication laparoscopic surgery?

A member asked:

What is the risk of mortality for a laparoscopic nissen fundoplication ? having the surgery but feeling worried

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