Doctor insights on:
Nissen Fundoplication Surgery
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
As any other patient: It mostly depends on your genetic predisposition and drugs used by anesthesiologist, then procedure itself. Theoretically eye procedures and gyn surgeries has higher incidence of nausea, but with modern drugs, it is not significant as in the past. ...Read more
Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?
How can I find out if my vagus nerve was damaged during a nissen fundoplication surgery which caused gastroparesis?
Tests are available.: For all surgical procedures there are risks and benefits. With nissen fundoplication and hiatal hernia repair, vagus nerve injury is a known risk. The risk for vagus nerve injury is due to the proximity of the nerve to the anatomy in which the procedures are performed. Okay to discuss with your surgeon and the GI doc on your team. There are tests to diagnose vagus nerve function. Good luck. ...Read more
I had the Nissen fundoplication surgery 6 days ago and have been suffering from phrenic nerve pain. Will it get better?
I had nissen fundoplication surgery when I was a 6 lb preemie and now have difficulty burping. I heard that the nissen may stretch as I grow. I'm 11 l
See a GI Surgeon: Absolutely, that can happen within a limited timeframe after the original surgery, however, depending on the way the fundoplication was done, you may have lost the ability to burp due to the completeness of the surgical wrap around the base of the esophagus. It takes another surgery to 'relax' the wrap to allow gas to come up, or burp, if that is the issue. ...Read more
Good day. My daughter is 14 months and had a Nissen fundoplication surgery done on Tuesday. She was great till today. She is crying a lot and looks like she wants to vomit. I am not sure if I am not overfeeding her as well. I am not forcing food down but
Talk to surgeon: Any change during the post-op period should be taken seriously. Have the surgeon on call paged to discuss with them what you are noticing or have her seen in a local ER to ensure that she is okay. Best wishes. ...Read more
I had nissen fundoplication surgery about 10 years ago and the surgery was really successful; however, for the last several months I've had worsening pain in my left shoulder after eating - really severe pain - I'd say a 10 on a scale of 1-10. I've notice
Consult your surgeon: Highly like your Nissen has come undone and need to be revised ...Read more
Had nissen fundoplication surgery 10/10, solved issue with reflux of acid into esophagus, now I suffer with excessive gas. What to try to stop gas?
Record diet: You had a nissen and now notice gas. Try recording what you eat and avoid the food that gives you gas like fried foods or legumes. With your nissen you may have received antibiotics. It will take a while to return your gut flora to normal. You may find that yogurt often can help so give that a try. ...Read more
6 lb neonate had nissen fundoplication surgery and now has difficulty burping. Baby is 11 lbs now at 2 months adjusted age. At what age/weight will the nissen stretch and allow for normal burping?
You should: Speak with the surgeon who performed the operation. The average pediatrician will not know the answer to this question, and it's best to ask the surgeon who has likely performed and followed up many of these types of cases. ...Read more
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
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
After a nissen fundoplication takedown, should the normal esophagal motility priorto. Surgery return?
Would think so: See: http://usmilitary. About. Com/od/joiningthemilitary/a/abdominal. HtmGet a more detailed answer ›
Varies: The fullness can be highly variable. How tight vs how lose the wrap was made, how much postoperative swelling is present and the length of the actual wrap can play a role. Generally, patients will reach a baseline 3-4 months after surgery when all the swelling is gone. If the wrap was made to tight, the patient may have long term problems with swallowing or excessive fullness. ...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
Done for severe GER: All young infants have some gastroesophageal reflux; that's why they spit-up. At 4-6 months' age, the lower esophageal sphincter becomes more competent, and reflux usually subsides. If it continues and causes severe problems with the respiratory system (stopping breathing, recurrent pneumonia), poor nutrition, or direct esophageal complications (inflammation, stricture), surgery is considered. ...Read more
How long after my laparoscopic fundoplication should I expect to no longer need pain medication for my surgery pain?
Why does nissen fundoplication reduce reflux symptoms, but not Barrett's or cancer risk? I'm getting mixed messages on benefits of surgery.
Surgery will help: This is a tough question and still being looked at. The data so far does show that antireflux surgery)does shows some regression of short amounts of Barrett's. It has also helped slow the progression of Barrett's to cancer. However it does not eliminate the need for continued surveillance. Consult your physician on that. If a hiatal hernia repaired it may also help with future Barrett tx. ...Read more
Still hiccuping after eating 3 months post-nissen fundoplication. Is this permanent? Otherwise, surgery was complete success.
Hiccups post Nissen: This is likely related to ingesting air. Many reflux patients swallow air. This behavior must be "unlearned". It often resolves with time but takes months. Delayed gastric emptying is also possible. Try simethicone to see if it improves symptoms. Also avoid carbonation, gum, straws, raw veggies, and crunchy foods as these all increase gastric air swallowing. ...Read more
I have underwent gallbladder infection after nissen fundoplication and my bile refluxseems to be by far more pronounced after surgery. Is there a link?
No: There should be no link. May need test to make sure nissen still in place. ...Read more
What does "severe'" gas-bloat after nissen fundoplication mean/look like? What causes gas-bloat after this surgery?
Can't burp: An effective nissen fundoplication provides a barrier to gastroesophageal reflux, but also a barrier to vomiting and burping since the lower esophageal sphincter no longer relaxes to let air (or other stomach contents) escape upward from your stomach. The air then accumulates in the stomach, resulting in gas and bloating until it can be evacuated into the small bowel. ...Read more