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Doctor insights on: Laparoscopic Nissen Fundoscopy Surgery

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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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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic 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 more

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How do I know if i need nissen fundoplication laparoscopic surgery?

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

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Is it common for GERD to get worse after a nissen surgery before it gets better?

Is it common for GERD to get worse after a nissen surgery before it gets better?

Not usually: Classic gerd symptoms like heartburn usually improve immediately. However with the swelling some symptoms are made worse like trouble swallowing. This usually improves in a few weeks. ...Read more

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I have severe lpr want to get surgery stretta or nissen which one is good for lpr?

I have severe lpr want to get surgery stretta or nissen which one is good for lpr?

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 more

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Does nissen fundoplication reduce risk of Barrett's? Does the surgery have any long term risks?

Does nissen fundoplication  reduce risk of Barrett's? 

Does the surgery have any long term risks?

Yes: the procedure is used to treat REFRACTORY GERD (poorly responsive to MEDICAL Treatment) The surgeon will describe possible complications of the surgery including bleeding, obstruction etc. Hope this helps! Dr Z ...Read more

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After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?

After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?

Yes.: When performing a nissen fundoplication, the esophagus is only marginally affected. Therefore, following reversal your esophageal function should return to your pre-surgical state. This is best determined by a motility study. ...Read more

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What are common post op reactions after nissen fold surgery?

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

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Does a gastroentrologist do the surgery nissen fundoliplication?

Does a gastroentrologist do the surgery nissen fundoliplication?

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