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Doctor insights on: Endoluminal Fundoplication

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Whats nissen fundoplication?

Whats nissen fundoplication?

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 more

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Dr. Dan Lister
172 doctors shared insights

Fundoplication (Definition)

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


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What is disruption of fundoplication?

Failure: A fundoplication is a surgery to prevent reflux from the stomach to the esophagus. The upper part of the stomach is wrapped around the lower esophagus. A disruption is when that wrapping or folding unwraps. ...Read more

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What is the nissen fundoplication wrap?

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

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What is the meaning of nissen fundoplication?

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

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What are complications from nissen fundoplication?

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

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What are the complications of nissen fundoplication?

What are the complications of nissen fundoplication?

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

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How to know if I risk having a nissen fundoplication?

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

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Who is not a good candidate for nissen fundoplication?

Who is not a good candidate for nissen fundoplication?

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 more

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What are the complications from nissen fundoplication?

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 more

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What is the definition or description of: fundoplication?

Wrapping the stomach: 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 treat esophageal reflux (gerd). ...Read more

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