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Doctor insights on: Fundoplication

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Dr. Dan Lister
157 doctors shared insights

Fundoplication (Overview)

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 treat esophageal reflux (gerd).


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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
157 doctors shared insights

Fundoplication (Overview)

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 treat esophageal reflux (gerd).


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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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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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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 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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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 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 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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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