After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work. After open surgery, you may need
4 to 6 weeks
to get back to your normal routine.
What are the side effects of fundoplication?
The most common side effect is
difficulty in swallowing
. This is common immediately after the operation and gradually improves. The amount of food you consume may be less and you may have to eat more slowly than you did before the operation. Other common side effects are burping, bloating and increased wind (flatus).
How long after fundoplication Do swallowing problems last?
Transient dysphagia occurs in 40% to 70% of patients after Nissen fundoplication. This is thought to be secondary to edema at the gastroesophageal junction (GEJ) or transient esophageal hypomotility. Fortunately, dysphagia usually resolves spontaneously
within 2 to 3 months
.
Do you lose weight after fundoplication?
Conclusion: Fundoplication combined with mediogastric plication produced a total recovery from gastroesophageal reflux disease and an
excess weight loss of 62% in 87.5% of patients after 1 year of follow-up
. This procedure is technically feasible, and no serious procedure-related complications occurred.
How long does it take to recover from fundoplication surgery?
After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work. After open surgery, you may need
4 to 6 weeks
to get back to your normal routine.
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. In 2 to 3 months, the stomach adjusts. You will be able to eat your usual amounts of food.
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%.
Can you eat normally after Nissen fundoplication?
When will I be able to eat a soft diet
Is Fundoplication a major surgery?
The surgery is
relatively safe
with morbidity of less than 1%. Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding.
Can I drink coffee after Nissen fundoplication?
Take small bites, chew your food well, and avoid gulping. This helps prevent gas build-up and aids in swallowing. To prevent swallowing air, which produces excess gas, avoid drinking through a straw and don’t chew gum or tobacco. Also
avoid caffeine, carbonated drinks
, alcohol, citrus, and tomato products.
How successful is GERD surgery?
Acid reflux surgery has a high success rate. In
about 95% of cases
, acid reflux surgery relieves symptoms enough that people don’t need medications afterwards. Studies following people for more than five years after surgery find that symptom improvement continues long term.
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 do I know if my Nissen fundoplication failed?
Persistent or recurrent symptoms of reflux and/or persistent postoperative dysphagia
are the most common indicators of fundoplication failure (13). Such failures are due to a fundoplication wrap that is too tight, too loose, disrupted, or incorrectly positioned or that has migrated into the chest (1,2,8,13–17).
What is dumping syndrome after Nissen fundoplication?
Dumping syndrome may occur
when a large volume of gastric content is delivered to the duodenum or jejunum
, resulting in both gastrointestinal and vasomotor symptoms. Occasionally, dumping syndrome may be a complication in patients that have undergone nissen Fundoplication, especially in adults.
Why do I still have heartburn after fundoplication?
You may have a
hypersensitive esophagus
. Stress and anxiety do not cause acid reflux to happen but increase esophageal sensitivity to acid reflux. Nissen fundoplication patients who report persistent or new onset heartburn after surgery need to be evaluated with upper endoscopy and ambulatory pH testing.
