What are the long-term side effects of Nissen fundoplication?
Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms. Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may also limit the success of antireflux surgery.
How does a Nissen fundoplication work?
Laparoscopic anti-reflux surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.
Can you ever eat normally after Nissen fundoplication?
When will I be able to eat a soft diet? After Nissen fundoplication surgery, your diet will be advanced slowly by your surgeon. Generally, you will be on a clear liquid diet for the first few meals. Then you will advance to the full liquid diet for a meal or two and eventually to a Nissen soft diet.
Can you still vomit after fundoplication?
I have found that most of my patients have excellent control of their GERD symptoms with a fundoplication wrap that still allows the majority of them to belch and vomit.
How painful is fundoplication surgery?
Abdominal pain and chest pain following laparoscopic fundoplication were reported in 24.0% and 19.5% of patients respectively. Pain was mild or moderate in the majority and severe in 4%.
Is your stomach smaller after Nissen fundoplication?
The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat.
Is a Nissen fundoplication worth it?
Overall outcome was described by patients as excellent 43%, good 38%, fair 11% and poor 8%. Conclusion Majority of patients undergoing Laparoscopic Nissen’s fundoplication had good long term control of acid reflux and were happy with their decision to undergo surgery.
Can you ever eat chocolate after Nissen fundoplication?
Full Liquid Diet After Nissen Fundoplication Surgery
The full liquid diet contains anything on the clear liquid diet, plus: Milk, soy, rice, and almond (no chocolate)
How much weight should I lose with the Nissen fundoplication?
Twelve months after LNF, neither a tendency toward a renewed increase nor a further decrease in BMI was observable. The average body weight loss was 3.9 kg. BMI reduction was higher in women than in men (p < 0.002), and obese patients lost more weight than lean patients (p < 0.001).
Can you have fundoplication twice?
Revisional surgery (redo fundoplication) is offered to patients who have persistent, recurrent, or new foregut symptoms (heartburn, dysphagia, chest pain, regurgitation, asthma, hoarseness, chronic cough, or laryngitis) and confirmed physiologic abnormalities or a definable anatomic defect.
What is the best surgery for acid reflux?
Laparoscopic fundoplication is the gold standard for surgical treatment of severe GERD and results in approximately 95% patient satisfaction. Robotic Nissen fundoplication is also very advantageous with good outcomes.