Doctor insights on:
Nissen Fundoplication Surgery Complications
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
Fundoplication is also known as Anti reflux surgery. 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
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
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
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 moreSee 2 more doctor answers
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
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
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
I have underwent gallbladder infection after nissen fundoplication and my bile refluxseems to be by far more pronounced after surgery.Is there a link?
I had the Nissen fundoplication surgery 6 days ago and have been suffering from phrenic nerve pain. will it get better?
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