Doctor insights on:
Nissen Fundoplication Surgery Complications
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
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
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
Would think so: See: http://usmilitary.about.com/od/joiningthemilitary/a/abdominal.htmGet a more detailed answer ›
Surgeons always: Discuss benefits vs. Risks of a procedure before parents sign a consent for surgery. Fundoplication is usually proposed if infant is not gaining weight, has esophagitis, is aspirating formula into the lungs, or neurologic problems cause feeding difficulty & a gastrostomy tube is needed, all of which are a much greater risk than surgery or anaesthesia. It's also considered when meds haven't worked. ...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
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