Although widely quoted, the study of DeMeester et al,
3
which demonstrated a positive outcome for 91% of patients undergoing open Nissen fundoplication, extrapolated a
10-year
outcome through an actuarial analysis with a series that reported an average follow-up of 45 months.
Is a Nissen fundoplication permanent?
Unlike antireflux medications, laparoscopic Nissen fundoplication
offers permanent relief for gastroesophageal reflux disease
(GERD).
How many times can you have fundoplication surgery?
The authors of a 2014 study found that 7% of people who have a 360 degree fundoplication will have to repeat the
surgery at least once
. Long-term side effects, such as increased gas in the abdomen, are also possible.
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).
How often does Nissen fundoplication fail?
THE LAPAROSCOPIC Nissen fundoplication was first introduced in 1991
1
as an alternative to open antireflux procedures. It is now an established surgical treatment of severe reflux disease and its complications. Failure occurs at a similar rate to that with the open procedure, which is
approximately 1% per year
.
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.
Why do Nissen Fundoplications fail?
A slipped Nissen fundoplication may be the result of
a technical error in which the fundoplication is incorrectly placed over the stomach or may be due to slippage of the stomach up through an intact wrap
. A tight wrap occurs because of poor surgical technique or the misdiagnosis of achalasia.
How painful is Nissen fundoplication?
Laparoscopic Nissen fundoplication is a minimally invasive procedure performed through tiny incisions. Consequently, recovery is fast, and it is
associated with very little discomfort
.
Can you still vomit after fundoplication?
The most common complications are difficulty swallowing, abdominal bloating, diarrhea, and nausea. Most patients can’t belch as well as they could before surgery, although the inability to belch is distinctly uncommon.
About 25% of patients can’t vomit after surgery
.
What is a slipped Nissen?
Slipped Nissen fundoplication is
the axial movement of the esophagus back into the chest due to poor mobilization
. Such axial movement drags the GEJ and upper part of the stomach through the fundoplication, hence the term slipped fundoplication.
What is the success rate of Nissen fundoplication?
Endoscopic evaluation of laparoscopic nissen fundoplication:
89 % success rate 10 years after surgery
.
Can I eat chocolate after Nissen fundoplication?
Avoid caffeine, carbonated beverages, alcohol, citrus fruits and juices, tomato products, and chocolate. After Nissen fundoplication surgery, your diet will be
changed slowly
, depending on your progress and your tolerance for food.
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.
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.
Do you lose weight with 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.
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).
