Doctor insights on:
Do I Need To Follow A Special Diet After My Nissen Fundoplication
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. ...Read moreSee 1 more doctor answer
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
I have severe gerd, uncontrolled by prescription + diet, causing crippling laryngitis for over a year. Should I consider fundoplication? This surgery scares me.
Yes you should.: Patients with severe gerd with extra-esophageal manifestations not responding to intensive medical therapy and lifestyle changes should be considered for nissen fundoplication. In our days it is done laparoscopically and in good hands the surgery is safe and effective. I have good success rates with my patients who failed high dose ppis. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 1 more doctor 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. ...Read more
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. ...Read more
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. ...Read moreSee 1 more doctor answer
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. ...Read more
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. ...Read more
When it won't work: If the operation won't help the symptoms or meet the patients goals, it shouldn't be done. While this cannot be predicted with 100% accuracy, a careful history along with tests of the upper GI tract can maximize the chmaces for success. It should not be done in patients with achalasia. Gastroparesis that is mild and has predominantly gerd symptoms may benefit from nissen. Severe gastroparesis not. ...Read moreSee 2 more doctor 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. ...Read moreSee 1 more doctor answer
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