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Doctor insights on: Side Effects After Nissen Fundoplication Surgery

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I'm 23, never had gerd symptoms before my hiatal-hernia, I was wondering if I can get hernia surgery without fundoplication? Worried about side effects

I'm 23, never had gerd symptoms before my hiatal-hernia, I was wondering if I can get hernia surgery without fundoplication? Worried about side effects

No surgery: 90-95 % of people with GERD get better with medication. Surgery reserved to a very small section of people. Yes you can have a hiatal hernia surgery without the fundoplication, but that will not stop the efflux in any way. Try to get the best medical treatment before start thinking about surgery.

Dr. Dan Lister
179 Doctors shared insights

Fundoplication (Definition)

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


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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.

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Does nissen fundoplication reduce risk of Barrett's? Does the surgery have any long term risks?

Does nissen fundoplication reduce risk of Barrett's? Does the surgery have any long term risks?

Yes: The procedure is used to treat REFRACTORY GERD (poorly responsive to MEDICAL Treatment) The surgeon will describe possible complications of the surgery including bleeding, obstruction etc. Hope this helps! Dr Z

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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.

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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.

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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

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.

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

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.

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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.

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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?

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.

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What are risks of fundoplication surgery on infants?

Ask your pediatricia: To be honest although I am not a pediatrician it is normal for a baby to regurgitate so I am unaware you should do this surgery on infants.

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Can you tell me about fundoplication surgery on infants?

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.

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How long after my laparoscopic fundoplication should I expect to no longer need pain medication for my surgery pain?

Very short time: With in 2 wks you should not be taking pain medications after fundal plication surgery.

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

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.

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What is it like to have fundoplication or antireflux surgery?

What is it like to have fundoplication or antireflux surgery?

Bloating: Bloating is very common after reflux surgery you can over come that by eating multiple small meal eat slowly and chew your food very well cut your meat to a small bite keep your bowel regular and do a lot of walking stat on anti gas medicine

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

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

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.

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I had a fundoplication 10 years ago and have gained weight ever since. Is it possible to reverse the Nissan repair the hernia and have w/l surgery?

Why: Why you want to reverse the fundoplication, do you have problem? Everything possible, but most surgeons that I know they have to have an indication or a reason for surgery

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I had the Nissen fundoplication surgery 6 days ago and have been suffering from phrenic nerve pain. Will it get better?

I had the Nissen fundoplication surgery 6 days ago and have been suffering from phrenic nerve pain. Will it get better?

Time will tell: Depending on the surg and the swelling in the area of the phrenic nerve, time is the only way you will get an answer. There is no way to make an prediction.