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Doctor insights on: Nissen Fundoplication Recovery

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Whats nissen fundoplication?

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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Dr. Dan Lister
181 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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Is laparoscopic nissen fundoplication similar to lap band?

No: A lap band is a device that wraps around the top of your stomach used to treat obesity. A fundoplication wraps the top of your stomach around itself to treat reflux. ...Read more

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What's a hernia nissen fundoplication, gastrostomy?

Foregut operation: A hiatal hernia is when the natural opening in the diaphragm enlarges to allow the stomach to migrate into the chest. If a large part of the stomach is involved, it is a para esophageal hernia. Repairing this involves closing the hole to the right size & wrapping the lower esophagus with the top of the stomach (nissen). A tube is placed in the stomach (gastrostomy) rarely in adults. ...Read more

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What are lifting restrictions after nissen fundoplication?

Ask your surgeon. : I tell my patients not to lift more than 20 lbs for 3 weeks. It is advisable to avoid very heavy lifting for six weeks. ...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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Recovery from laparoscopic ventral rectopexy surgery?

Recovery from laparoscopic ventral rectopexy surgery?

What: What about it? You mean recovery time form ventral hernia repair. About a week to two depending on size. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the 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. ...Read more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read more

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Stomach bypass surgery safe?

Stomach bypass surgery safe?

Mostly...: Modern bariatric procedures have become more standardized and safer. However, you need to go through a complete evaluation process to determine whether it is right for you. The most important decision is perhaps picking the right program with a good record. ...Read more

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Treatment for GERD after gastric sleeve surgery?

Treatment for GERD after gastric sleeve surgery?

Diet and: Medication management first. Sleeves can be converted to gastric bypasses with little or no natural stomach left and therefor is ofter curative for the gerd. Also a new procedure, the torax is approved. http://www.toraxmedical.com/linx/. ...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

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What are complications from nissen fundoplication?

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 more

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Is transoral incisionless fundoplication safe?

Safer, but...: It's considered more safe than actual surgery, but there are still risks of things like bleeding and perforation. The major concern about transoral anti-reflux procedures is how effective they'll be for controlling reflux. This is still a bit unclear, but most feel that it's not going to work as well as the actual operations would. The decision is best made on a case by case basis. ...Read more

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Hiatus hernia repair operation, what to expect?

Hiatus hernia repair operation, what to expect?

Soft foods: This surgery is usually done with laparoscope and involves a one day stay. You will start with thin liquids and advance slowly. This should help your symptoms of reflux. Good luck ...Read more

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What is success of laparoscopic anti-reflux surgery for hiatal hernia?

What is success of laparoscopic anti-reflux surgery for hiatal hernia?

Varies: Don't be afraid to ask your surgeon. Most surgeons track their outcomes for at least a few years. If you go to a surgeon with good results and you do your part (eating right and keeping your weight in check) - you can expect durable relief with surgery. ...Read more

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3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?

3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?

Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise these things tend to resolve. ...Read more

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How long can I lift weight again after a hiatal hernia repair with linx a linx device? No nissen fundoplication.

How long can I lift weight again after a hiatal hernia repair with linx a linx device? No nissen fundoplication.

Great question but: ...the answer is best targeted to your circumstance. Please call you surgeon for the response most appropriate to you: for instance, whether the LINX device resulted in any swallowing trouble or other post-operative concerns. Ref: http://www.surgery.usc.edu/uppergi-general/gastroesophagealrefluxdisease-linx-beforeduringafter.html ...Read more