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Doctor insights on: Side Effects After Nissen Fundoplication Surgery

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I know nausea can be treated but how common is nausea after nissen fundoplication surgery?

I know nausea can be treated but how common is nausea after nissen fundoplication surgery?

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 more

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Dr. Dan Lister
143 doctors shared insights

Fundoplication (Definition)

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

Dr. Crystal Twynham
Board Certified, General Surgery
27 years in practice
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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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Dr. Crystal Twynham
Board Certified, General Surgery
27 years in practice
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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

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What does "severe'" gas-bloat after nissen fundoplication mean/look like? What causes gas-bloat after this surgery?

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

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Why are there mixed opinions on reversal of nissen fundoplication surgery? Is reversal safe, difficult?

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

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How long after fundoplication do you get the full benefits of the surgery?

Almost immediately: The operation will provide protection from reflux immediately. However you experimce some pain with eating, feeling full, and some esophageal spasm for a few weeks but you should not feel reflux symptoms. ...Read more

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Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?

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

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Dr. Crystal Twynham
Board Certified, General Surgery
27 years in practice
924.0K people helped
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