A member asked:

What are the complications from nissen fundoplication?

6 doctors weighed in across 5 answers

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.

Answered 4/10/2021

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Dr. Charles Breaux answered

Specializes in Pediatric Surgery

There are ...: Generic risks such as infection, rare as it is a clean operation. If it is a laparoscopic procedure, there is the risk of conversion to open with a larger incision. The fundoplication might be made too tight making it difficult to swallow. It might also come unwrapped resulting in recurrent reflux symptoms. It might be harder to burp or vomit afterwards. Have a good discussion with your surgeon.

Answered 1/26/2019

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Depends: Hopefullly none but unfortunately, like after any proceedure complications can occur. The most common problem is difficulty swallowing certain foods. Occasionally it is more difficult to vomit but that is rare.

Answered 7/1/2019

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Dr. Charles Breaux answered

Specializes in Pediatric Surgery

Operative ...: Complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure. Specific to the nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or vomiting afterward.

Answered 4/9/2016

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Dr. Charles Breaux answered

Specializes in Pediatric Surgery

Operative ...: complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure. Specific to the Nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or vomiting afterward.

Answered 7/3/2014

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