What to expect after nissen fundoplication surgery

How much weight do you lose after Nissen fundoplication?

The average reduction of body weight was 3.9 kg. Nineteen patients (9.1%) did not reduce weight and 19 patients (9.1%) showed a slight increase in body weight (average, 2.4 kg). Body mass index (BMI) before and 3 and 12 months after laparoscopic Nissen fundoplication (LNF).

How long after a Nissen fundoplication can you eat normally?

Drink fluids with meals to keep foods moist. Have plenty of gravy/sauce • Avoid eating for 2 hours before going to bed. Sleep propped up with an extra pillow. You should be able to progress to a soft-normal diet 4 – 6 weeks after surgery.

What are the side effects of fundoplication?

Because of this, many people experience side effects from fundoplication, such as:

  • increased abdominal gas.
  • pain in the abdomen.
  • bloating.
  • increased flatulence.

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.

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).

Can I drink alcohol after Nissen fundoplication?

Avoid drinking alcohol. Alcohol increases the likelihood that acid from your stomach will back up. These changes may be difficult. Talk to your health care provider about the tips to avoid acid reflux.

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How painful is Nissen fundoplication?

You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.

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 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.

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.

What is the success rate of Nissen Fundoplication?

Laparoscopic Nissen fundoplication has become the method of choice in antireflux surgery providing good short-term outcome in over 90% of patients, an associated morbidity rate of less than 10%, and only a 5% incidence of new-onset dysphagia[5-10,12,13].

Can you burp after 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.

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How long does a fundoplication operation take?

Each type of fundoplication has slightly different steps. But each takes about two to four hours and follow a similar overall procedure. Here’s a general overview of a fundoplication surgery: Several small cuts are made through the skin and peritoneum, a layer of tissue around your gut.

How long does a lap Nissen last?

Long-term outcomes studies are rare. The longest study to date showed a 73% success rate of the laparoscopic fundoplication procedure at 10-years.

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