Can a person have gastric bypass or a lap band if they have had a nissen fundoplication? i am just curious if i am a candidate

Technically, : Technically, yes, you can have bariatric surgery after a nissen fundoplication. A previous nissen fundoplication for gastroesophageal reflux disease (gerd) will make bariatric surgery more difficult and put you at higher risk for certain complications such as stomach injury and leak. A gastric bypass would be the most effective procedure that would also treat gerd. If you are pursuing bariatric surgery, you should let your surgeon know up front that you have had this type of procedure and make sure they would be willing to do your surgery.

Although : Although all cases should be evaluated on an individual basis, it could certainly be possible to have weight loss surgery after nissen (or other) fundoplication. One should consider why the fundoplication was done (usually for reflux symptoms) and incorporate this into the overall treatment plan. Both lap band and sleeve gastrectomy could potentially worsen existing reflux, and to perform either the fundoplication would probably need to be "unwrapped" (thus possibly leading to recurrent reflux symptoms). A gastric bypass could be done "under" the fundoplication (thus keeping it intact), and because the anatomy does not present obstruction to the flow of food (like the band does), reflux should not worsen or recur.

Yes : Yes it is certainly possible to do a gastric bypass or a lap band after a nissen fundoplication. Keep in mind that this is a very high risk procedure due to the nature of having to operate in an area of prior surgery and all the scar tissue that is involved. As long as you understand that this is indeed a very high risk procedure with higher rate of bowel injury, and leaks and your bariatric surgeon has experience with revisional surgery, then you have done your appropriate homework. Good luck.

Yes: Having done a number of these procedures it can be done. A gastric bypass simply drains the area and does not prevent reflux. The band is a barrier against reflux unless it is too tight or gets a slip.