A member asked:

I have had a nissen fundoplication for what was refractory reflux. standing up or laying down 24/7. post op, i have no reflux standing up, but some small air pops. laying down i can swallow and hear a gurgle. is this a tight wrap or nissen failure?

A doctor has provided 1 answer

Need further w/u: Currently there is no doubt that surgical treatment of reflux disease by laparoscopy is safe and effective, with success rates above 85% some complaints are common like postprandial bloating, difficulty on burp and vomit, and sometimes dysphagia.In fundoplication improperly made with the gastric body, cineradiography and/or videodeglutogram is important to guide the diagnosis.

Answered 4/6/2019

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