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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 moreSee 2 more doctor answers
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 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'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
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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