Doctor insights on:
What Are The Most Common Complications Of A Nissen Fundoplication For Gerd
EARLY or LATE?: Early complications include injury to the stomach, esophagus, or adjacent organs (spleen). Late complications may be due to the wrap being too tight (difficulty swallowing, gas-bloat syndrome) or too loose (persistent reflux). Rarely, nerve injury can lead to diarrhea and/or poor emptying of the stomach. ...Read more
Is it okay to go through a nissen fundoplication for GERD after having a gall bladder removal done on me?
Multiple Ways: A nissen is wraping the loose upper portion of the stomach around the lower esophagus to reinforce the valve that is located there to prevent reflux from the stomach into the esophagus. It also works by bringing the lower esophagus into the abdominal cavity where pressure is greater, furthing reinforcing the valve. Also an hiatel hernia found at the time is repaired. ...Read more
What tests should be run before considering a nissen fundoplication to manage severe, chronic gerd?
Is LINX System a better option for me than Nissen Fundoplication? If I have severe GERD LES (0, 3mHg)? Thanks
No: No Nissan fundoplication have a fifty years or more of success in spite being more invasive has better track record of success now done with laparoscope as out patient make it more appealing the surgery fix the problem of hernia and reflux at the same time any other alternative like LINX could prevent reflux for a short time and it does not have long record of success yet get second opinion ...Read more
How does esophyx compare to nissen fundoplication in terms of efficacy and safety? I have bad GERD and laryngitis. Which should I do?
Both have pros&cons:
Bad gerd with laryngitis that is poorly managed with meds makes you a candidate for either procedure.
Esophyx is endoscopic without scars but is newer, less studied& not indicated for big hiatal hernia.
Laparoscopic nissen fundoplication is the gold standard but it is a surgery/more expensive and makes it difficult to heave or burp.
They are both operator dependent & patient selection is key. ...Read more
I'm 40 years old and had the fundoplication 15 years ago but it failed. What are the side affects of not taking GERD medication for over ten years?
Can you recommend the Torax Linx device as a less invasive alternative to a Nissen Fundoplication for management of GERD?
Good early reposrts: New device but seems promising. Early report from LAC-USC in Los Angeles, CA endorse its use so far ...Read more
I have had GERD for 12 years been on ppis since then. I am 32, 6' 175lbs. Considering nissen fundoplication to get off ppis and help with regurgitation. Tests are good but I am hesitant, any advice?
See below: Iyou live in austin texas, which has some of the best gastroenterologist in United States. I would suggest you check in with austin gastroenterology. And get a second opinion before you consider any surgery. Also, you need a workup for food allergy. I lot of patients who had nissen that still have gerd. Later to find out they had a food allergy. Wish you the best. ...Read more
What bariatric procedure could I have with a hx of GERD @ 20 years W/gastritis. Treated with Nissen Fundoplication that failed after 2 years?
Up to you:
The kind of procesure you are going to need will be dicided on your weight, and how much you need to lose, and the other co-morbid problems you have you surgical history will make a difference but that challange is to the surgeon.
discuss your history with the surgeon, and you both decide what is the right thing for you. ...Read more
Hi, I know it´s risk, but my question is. I want to know what will happen, if I go to fundoplication? . I have GERD 3mmhg and dysmotility of esophagus
Depends.: Surgery for gerd certainly can help symptoms, but as with any surgery, there can be complications and long-term side effects. Currently, surgery is recommended for gerd only if the patient is refractory to medical therapy. Have you had a good trial of anti-reflux medications? Did they work? These are questions that you will need to answer with your physician before considering any sort of surgery. ...Read more
Making better valve: ... To keep stomach acid in stomach. The most common operation for gastroesophageal reflux (ger) performed in the us is a fundoplication in which the top of the stomach (fundus) is plicated or wrapped around the bottom of the swallowing tube (esophagus) to make a better valve there. It can either be a full- or partial-wrap. The operation can be done openly or laparoscopically. ...Read more
I have severe gerd, uncontrolled by prescription + diet, causing crippling laryngitis for over a year. Should I consider fundoplication? This surgery scares me.
Yes you should.: Patients with severe gerd with extra-esophageal manifestations not responding to intensive medical therapy and lifestyle changes should be considered for nissen fundoplication. In our days it is done laparoscopically and in good hands the surgery is safe and effective. I have good success rates with my patients who failed high dose ppis. ...Read more
I have dysmotility of esophagus and GERD 3mmhg (scleroderma). Will be posibble to do fundoplication in the future if my esophagus will be ok? Thanks
23years old. Could be possible to undergo fundoplication of GERD 0, 3mmHg=LES if I have aperistalsis of all esophagus (distal, midd, proximal)? Thanks
If hiatal hernia is causing gerd, why can't surgeon just repair hernia hole instead of doing that and a fundoplication?
Been there done that: Doesn't work sewing muscle to muscle under tension you get early recurrence / failure ...Read more
Which is the less bad option for a 12-year-old with GERD? Long term PPI or fundoplication? Vomiting returns when goes off PPI.
Hard to say: Gerd is a variable process and treatment includes dietary, behavioral, medication and surgical approaches. I don't know anyone who would operate on a kid that age that could be managed well by PPI's. That decision is better made by those who have more data on the past treatment and present status. ...Read more
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
I have schatzki ring and have had dialation 3 xs in 6 month periond and the dialtion don't help have GERD hiatal hernia will fundoplication help all?
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
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. ...Read more
Choices besides Fundoplication for GERD/hiatal hernia? Have asthma, and need to be able to vomit if I get mucus build-up. Protonix (pantoprazole) not enough for now.
See GI doctor: You may need more frequent dosing of Protonix (pantoprazole) and even addition of a H2 antagonist (ranitidine etc) plus lifestyle changes. You may also consider a Linx device which requires endoscopic placement. Obesity is one factor which worsens GERD and it is far better to work on this before contemplating any surgical procedure especially when it makes both the GERD and asthma worse. ...Read more
I had a fundoplication about 15+ years ago, and recently started having really bad heartburn/reflux. Is this a sign of the fundo failing?
Yes: Recurrence of reflux symptoms after fundoplication is usually a sign of it failing. You should consult with an experienced anti-reflux surgeon who can thoroughly evaluate you and re-do the fundoplication if necessary or convert to a different type of anti-reflux surgery. This is safe when done by surgeons experienced in revision anti-reflux surgery. ...Read more
Yes: You should get a GI study and make sure it did not failed. ...Read more
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
Operative. ..: Complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure. Specific to the nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or vomiting afterward. ...Read more
Operative. ..: Complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure. Specific to the Nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or vomiting afterward. ...Read more
There Aren't Many: There are the usual surgical complications like bleeding, infection, organ injury, etc., and risks of anesthesia like cardiac events and pneumonia. The major complication of the nissen itself would be the failure of the operation to continue controlling reflux in the long-term. This would be especially likely in morbidly obese people, who are better off having a rny gastric bypass for reflux. ...Read more