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Doctor insights on: Side Effects After Nissen Fundoplication Surgery

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Dr. Dan Lister
Board Certified, General Surgery
22 years in practice
180K people helped
1

1
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. William Forsythe
Board Certified
21 years in practice
169K people helped
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Dr. Dan Lister
150 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. Barry Rosen
Board Certified, General Surgery
28 years in practice
24M people helped
2

2
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. William Forsythe
Board Certified
21 years in practice
169K people helped
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Dr. Lois Freisleben-Cook
Board Certified, Developmental and Behavioral Pediatrics
35 years in practice
3M people helped
3

3
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. ...Read more

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Dr. Rafael Lugo
Board Certified, General Surgery
22 years in practice
1M people helped
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Dr. William Forsythe
Board Certified
21 years in practice
169K people helped
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Dr. J. Roth
Board Certified, General Surgery
22 years in practice
141K people helped
5

5
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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Dr. Mark Soberman
Board Certified, Thoracic Surgery
32 years in practice
113K people helped
6
Dr. Charles Cattano
Board Certified, Gastroenterology
33 years in practice
40M people helped
7

7
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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Dr. Charles Breaux
Board Certified, Pediatric Surgery
33 years in practice
637K people helped
8

8
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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Dr. Michael Murray
Board Certified, General Surgery
27 years in practice
274K people helped
9

9
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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Dr. Addagada Rao
Board Certified, General Surgery
50 years in practice
25M people helped
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Dr. William Forsythe
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21 years in practice
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