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
Fundoplication is also known as Anti reflux surgery. A fundoplication is wrapping the top of the stomach (fundus) around and attaching it to itself. It can be a partial wrap (toupet fundoplication) or a complete wrap (nissen fundoplication). It is usually used to ...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
Will a Nissen Fundoplication loosen (fail) over time? Research on the Internet shows redos are common after 10 or 20 years.
Unfortunately, yes.: Nissen Fundoplications r not a cure-all. Because nothing is removed in this surgery, the effects of surgery do, indeed, wane over time. How fast depends on the patient, their lifestyle, & the skill of the surgeon (among other factors). However, it is better than living thru heartburn in that time (espeically if medications have not worked) bcuz at some pt, damage from acid reflux can be permanent. ...Read more
How long after my laparoscopic fundoplication should I expect to no longer need pain medication for my surgery pain?
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
Same as before. : Your risk of nausea should be the same after surgery as it was before. I'm assuming you are worried about the inability to vomit after a nissen. I give my patient a prescription for anti nausea meds after surgery and tell them that if those don't take care of their nausea, to go to the er. If you haven't had surgery yet, there are several other surgical options that allow the patient to vomit. ...Read moreSee 1 more doctor answer
Position of Stomach: Gerd is often associated with a hiatal hernia, thru which the stomach "yo-yo's" up into the chest. Some patients with advanced disease have their entire stomach stuck within the chest with a shortened esophagus. We need to know this pre-op in order to plan a different surgical approach. ...Read moreSee 2 more doctor answers
I am 2 days post opt from a nissen fundoplication and am having some payne in the chest area where the wrap was after eating and feels like food there?
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