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Doctor insights on: What Are The Most Common Complications Of A Nissen Fundoplication For Gerd

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What are the most common complications of a nissen fundoplication for gerd?

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

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Dr. David Earle
1,280 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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How long does it normally take to recover after having a nissen fundoplication for gerd?

Few days to few wks: Recovery from nissen fundoplicatoin can be from a few days if done minimally-invasively with laparoscopy, or can take a few weeks if done with open laparotomy approach. ...Read more

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Is it okay to go through a nissen fundoplication for GERD after having a gall bladder removal done on me?

Is it okay to go through a nissen fundoplication for GERD after having a gall bladder removal done on me?

Yes: Yes. Once you have recovered from your gallbladder removal there is no reason why you can't have a fundoplication for reflux if your doctor feels a fundoplication is a good treatment for your reflux. ...Read more

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How does the nissen fundoplication reduce the symptoms of gerd?

Reinforce LES: The lower esophageal sphincter (les) is a high pressure zone at the junction of where the esophagus meets the stomach. In reflux disease the les is weakened, allowing stomach acid to reflux back into the esophagus, causing symptoms of gerd. The nissen procedure restores the pressure of the les by wrapping a portion of the stomach around the junction. ...Read more

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What tests should be run before considering a nissen fundoplication to manage severe, chronic gerd?

What tests should be run before considering a nissen fundoplication  to manage severe, chronic gerd?

Several: The work up for surgery for gerd includes an exam by the surgeon, an upper endoscopy preferably by the surgeon, possibly a test to measure how much acid is coming up, and an esophageal manometry which tests the function of the esophagus. Sometimes an x-ray UGI is also done. ...Read more

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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

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How does esophyx compare to nissen fundoplication in terms of efficacy and safety? I have bad GERD and laryngitis. Which should I do?

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

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Im 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?

Worst case...: ...Scenario - acid reflux leading to damage to the esophagus, progressing to esophageal cancer. You need to be followed regularly by a gastroenterologist to keep this from happening. ...Read more

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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

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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

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Dr. Dan Lister
173 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