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Doctor insights on: Fundoplication

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Dr. Dan Lister
179 Doctors shared insights

Fundoplication (Overview)

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).


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What's nissen fundoplication?

What's 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

Dr. Dan Lister
179 Doctors shared insights

Fundoplication (Overview)

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).


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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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Do I need to follow a special diet after my nissen fundoplication?

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 more

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Common problems after fundoplication? What can I do to avoid them?

Dysphagia: It is common to have dysphagia, or difficulty swallowing, for 3-6 weeks after the operation. You can avoid this by eating soft, "slippery" foods such as soups, apple sauce, and yogurt to name a few. Avoid bread and rice. As time progresses, feel free to slowly introduce more solid food into your diet, but chew it well, eat slowly, and start with small bites. Advance as tolerated. Hope this helps! ...Read more

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Nissen fundoplication needs to be redone, can it be reversed/taken down instead?

Yes: Technically should be possible to take down and reverse nissen, even laparoscopically. The important question is why it was done and what the reason for wanting to have it reversed. Talk with your surgeon. A seond opinion may be helpful to assess the problem. ...Read more

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I've heard/read no chocolate or chocolate drinks during recovery from nissen fundoplication? Really? How come?

Chocolate: Absolutely correct. Chocolate specifically acts on this sphincter to dilate it. Not wise while trying to heal. ...Read more

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I'm havin trouble swalowing again, but barium swalow showd no narrowing had fundoplication n april even tho it didn't show narowing I no I need itdone?

Probably ok: It's normal to occasionally have some trouble swallowing, especially after a fundoplication. It also depends if this trouble is manifest with the sensation food or liquids are getting stuck in the throat, or lower such as the bottom of the breast bone. If its in the throat, its not related to the fundoplication, and certainly not dangerous. Ask you surgeon for a follow up visit to check it out. ...Read more

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Is transoral incisionless fundoplication safe?

Safer, but...: It's considered more safe than actual surgery, but there are still risks of things like bleeding and perforation. The major concern about transoral anti-reflux procedures is how effective they'll be for controlling reflux. This is still a bit unclear, but most feel that it's not going to work as well as the actual operations would. The decision is best made on a case by case basis. ...Read more

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What are the long term effects of a fundoplication?

Control reflux!: A properly performed nissen fundoplication will stop your gastroesophageal reflux, getting rid of your heartburn. Some patients have difficulty belching or vomiting; some also have some difficulty swallowing solid foods such as meat, bread, and rice. ...Read more

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What are lifting restrictions after nissen fundoplication?

Ask your surgeon.: I tell my patients not to lift more than 20 lbs for 3 weeks. It is advisable to avoid very heavy lifting for six weeks. ...Read more