side effects after nissen fundoplication surgery

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Dr. Dan Lister answered:

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

Same as before.

Fundoplication
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.
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Dr. Barry Rosen answered:

Anyone done a nissen fundoplication laparoscopic surgery?

Yes!

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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.
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Dr. Joey Bluhm answered:

How do I know if i need nissen fundoplication laparoscopic surgery?

See a Surgeon

Fundoplication
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.
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Dr. Barry Rosen answered:

after a nissen fundoplication takedown, should the normal esophagal motility priorto.surgery return?

Yes.

Stomach
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.
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Why are there mixed opinions on reversal of Nissen fundoplication surgery? Is reversal safe, difficult?

It is more difficult

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

Can't burp

Passing_gas
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.
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Dr. Tracy A. Berg answered:

How can I find out if my vagus nerve was damaged during a Nissen Fundoplication surgery which caused gastroparesis?

Tests are available.

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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.
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Dr. Philip W. Chao answered:

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

Combining surgeries

Gall_bladder
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.
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Dr. J. Roth answered:

Still hiccuping after eating 3 months post-Nissen fundoplication. Is this permanent? Otherwise, surgery was complete success.

Hiccups post Nissen

Fundoplication
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.
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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

Fundoplication
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.
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