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Laparoscopic Nissen Fundoscopy Surgery
Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. An incisionless option, tiff, is available 2. ...Read moreSee 3 more doctor answers
See a Surgeon: Basically, if you have documented reflux disease either by history or testing such as egd or ph probe test, then fundoplication can be considered. Medications can help with reflux, however if you are young or the risk of surgery is minimal, the fundoplication can keep you from needing to take medications for your lifetime. If medications don't work, then surgery can be considered. ...Read more
How long after my laparoscopic fundoplication should I expect to no longer need pain medication for my surgery pain?
Depends: upon whether you have a para-esophageal hiatus hernia (Hernia of the stomach into the diaphtagm. STRETTA deals with the espohageal sphincter and is minimally invasive. The other corrects the hernia and sphincter and is via LAPROSCOPE...minimally invasive but an incision is made. FINALLY its your SURGEON/GASTROENTEROLOGIST who should explain and make choice with you! Hope this helps! Good Luck Z ...Read moreSee 1 more doctor answer
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
If a nissen wrap is disrupted but reflux is slightly better ie still the pain but no regurgitation, is redo surgery required? Or will it get worse?
Many: Most common initially is difficulty swallowing. This is normal and goes away w time. Long term, most pts can not burp, vomit, and have lots if gas/gurgling. This may get better over time (yrs). Don't let this dissuade u from surgery however. Most pts are extremely happy and have great quality of life. Worse the symptoms, better pts feel. ...Read more
Who does the Nissen?: The nissen fundoplication is a surgery done to correct the reflux of fluid from the stomach into the esophagus. These days, it's often done by laparoscopy, i.e., "keyhole" surgery. This is done by a surgeon, not a gastroenterologist. But your gastroenterologist can recommend their most trusted surgeon for you. Lgromkomd. ...Read more
Why are there mixed opinions on reversal of nissen fundoplication surgery? Is reversal safe, difficult?
It is more difficult: To undo a nissen fundoplcation than to do it. After creating a nissen fundoplcation, it gets really scarred in place. To take it down puts the distal esophagus and gastric fundus at risk for injury. The only reason to consider taking one down is intolerable gastric bloating with inability to burp or vomit afterwards. And you have to consider why the fundoplcation was done in the first place. ...Read moreSee 1 more doctor answer
Is there any side affects in nissen funduplication surgery and what's the percentage of successful of surgery as I am suffering from reflux 2 years.
Nissen fundiplicatn: This is surgery that is designed to recreate the sphincter at the distal end of your esophagus such that acid reflux problem is reduced. Unfortunately, in addition to post-surgical complication, there is up to 50% incidence of recurrence of gerd symptoms following surgery and often patients require resumption of proton pump inhibitor. ...Read more
Same as before. : Your risk of nausea should be the same after surgery as it was before. I'm assuming you are worried about the inability to vomit after a nissen. I give my patient a prescription for anti nausea meds after surgery and tell them that if those don't take care of their nausea, to go to the er. If you haven't had surgery yet, there are several other surgical options that allow the patient to vomit. ...Read moreSee 1 more doctor answer
Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?
Combining surgeries: Usually makes the surgery longer, causes more complications, increases healing time and increases the risk of bleeding or infection. As for healing - ask your surgeon usually at least 6-8 weeks. ...Read more
My daughter is 14 months and had a Nissen fundoplication and a few days after surgery she was great but now she is cranky and unhappy. Ideas please?
Nausea: can make a baby cranky after Nissen because she cannot vomit. Take her to her doctor to be sure there is nothing else wrong and if cleared ask to try an antinausea medication . Other possibilities include breakdown of the surgical procedure or a post operative complication so do not wait before seeing the doctor. ...Read more
How common is nissen fundplication surgery? Is it true that one in three surgery in western country is the nissen ?
No, not common: Nissen fundoplication is an anti-reflux procedure for symptomatic and poorly responsive gastroesophageal reflux (gerd). With the use of more potent antacids, such as proton pump inhibitors, the incidence of anti-reflux procedures is actually declining. The peak use was about 32, 000 in the us done in 1999 but down to 24, 000 by 2003. In contrast, over 600, 000 cholecystectomies are done each year. ...Read more
Ask your pediatricia: To be honest although I am not a pediatrician it is normal for a baby to regurgitate so I am unaware you should do this surgery on infants. ...Read more
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