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Doctor insights on: Fundoplication Symptoms

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How does the nissen fundoplication reduce the symptoms of gerd?

How does the nissen fundoplication reduce the symptoms of gerd?

Reinforce LES: The lower esophageal sphincter (les) is a high pressure zone at the junction of where the esophagus meets the stomach. In reflux disease the les is weakened, allowing stomach acid to reflux back into the esophagus, causing symptoms of gerd. The nissen procedure restores the pressure of the les by wrapping a portion of the stomach around the junction. ...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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Why does nissen fundoplication reduce reflux symptoms, but not Barrett's or cancer risk? I'm getting mixed messages on benefits of surgery.

Why does nissen fundoplication  reduce reflux symptoms, but not Barrett's or cancer risk?

I'm getting mixed messages on benefits of surgery.

Surgery will help: This is a tough question and still being looked at. The data so far does show that antireflux surgery)does shows some regression of short amounts of Barrett's. It has also helped slow the progression of Barrett's to cancer. However it does not eliminate the need for continued surveillance. Consult your physician on that. If a hiatal hernia repaired it may also help with future Barrett tx. ...Read more

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I had a fundoplication about 15 years ago and just recently developed symptoms of vagus nerve damage. Could the surgery be the reason this long after?

I had a fundoplication about 15 years ago and just recently developed symptoms of vagus nerve damage. Could the surgery be the reason this long after?

Doubt it: I doubt it, but i wonder what symptoms you are having that caused you or your doc to think that those are related to the vagus nerve. I am not sure i've heard there are symptoms that a vagus injury can be diagnosed on. ...Read more

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I'm 23,never had gerd symptoms before my hiatal-hernia, I was wondering if I can get hernia surgery without fundoplication? Worried about side effects

No surgery: 90-95 % of people with GERD get better with medication. surgery reserved to a very small section of people . yes you can have a hiatal hernia surgery without the fundoplication, but that will not stop the efflux in any way. try to get the best medical treatment before start thinking about surgery. ...Read more

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I had an laparoscopic nissen fundoplication procedure last week, and already i'm suffering from recurrence symptoms, my sore throat, what should I do?

I had an laparoscopic nissen fundoplication procedure last week, and already i'm suffering from recurrence symptoms, my sore throat, what should I do?

Call your surgeon: The easiest and smartest answer is to talk to your surgeon first they will know your body and the nature of surgery better than any other person on the internet. Having a sore throat after a nissen is very typical especially if the surgeon had to do endoscopy during the surgery or a bougie to help size the nissen wrap. Some sucking candy may relieve the soar throat. ...Read more

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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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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