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Doctor insights on: Laparoscopic Nissen Fundoscopy Surgery

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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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Dr. Dan Lister
177 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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How do I know if i need nissen fundoplication laparoscopic surgery?

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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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

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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 more

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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

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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 know nausea can be treated but how common is nausea after nissen fundoplication surgery?

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 more

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Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?

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

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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?

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

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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

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Please give advice im 3 month after nissen surgery and i read so many bad storys, i want take down the wrap, because i wasn't so bad before surgery?

Post nissen: Many things can cause this what are the symptoms? I would have an UGI series and or endoscopy and speak with your surgeon prior to having your wrap reversed. ...Read more

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What is it like to have fundoplication or antireflux surgery?

What is it like to have fundoplication or antireflux surgery?

Bloating: Bloating is very common after reflux surgery you can over come that by eating multiple small meal eat slowly and chew your food very well cut your meat to a small bite keep your bowel regular and do a lot of walking stat on anti gas medicine ...Read more

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What are risks of fundoplication surgery on infants?

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