What is nissen surgery

How long does a Nissen fundoplication surgery take?

The mobilized fundus of the stomach is then wrapped around the lower portion of the esophagus and sewn in place. The entire procedure takes two to three hours. Average hospital stay is approximately 2-3 days and patients are generally back to normal activities within two to three weeks.

Is Nissen fundoplication major surgery?

All major surgery is associated with risks such as bleeding, blood clots, infection and problems with anesthesia. Studies have shown fundoplication surgery improves GERD symptoms in most people. But, surgery may also cause new and troublesome symptoms in some people.

How long does it take to recover from a fundoplication?

How quickly you recover depends on whether you had a laparoscopic or open 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.

How does a Nissen fundoplication work?

Laparoscopic Nissen fundoplication is a minimally invasive procedure which is done to restore the function of the lower esophageal sphincter (the valve between the esophagus and the stomach) by wrapping the stomach around the esophagus.

Can you 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.

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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).

What are the side effects of Nissen Fundoplication?

Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may limit the success of antireflux surgery[12,13].

Can I drink coffee after Nissen fundoplication?

Nissen diet — drinks and foods to choose and avoid. Milk, such as whole, 2%, 1%, non-fat, or skim, soy, rice, almond. Caffeinated and decaf tea and coffee. Powdered drink mixes (in moderation).

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.

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.

What can I expect after fundoplication surgery?

After open surgery, you may need 4 to 6 weeks to get back to work or your normal routine. If the laparoscopic method is used, you will most likely be in the hospital for only 2 to 3 days. A general anesthetic is used. You will have less pain after surgery, because there is no large incision to heal.

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Can you burp after Nissen fundoplication?

Conclusion: After fundoplication, patients do not belch as a result of gastro-oesophageal gas reflux; rather it may be due to oesophagopharyngeal reflux of swallowed air.

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.

What type of doctor performs a Nissen fundoplication?

A general surgeon performs acid reflux surgery (fundoplication).

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