Doctor insights on:
Pain After Nissen Fundoplication Surgery
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
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
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
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
Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?
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?
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?
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