Nissen Fundoplication
Introduction
Nissen Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD). GERD is a condition where stomach acid flows back up into the esophagus, causing discomfort and damage to the lining of the esophagus. During a Nissen Fundoplication, the upper part of the stomach is wrapped around the lower part of the esophagus to create a barrier against reflux.
Symptoms
The symptoms of GERD can include:
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Heartburn
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Regurgitation
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Chest pain
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Difficulty swallowing
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Nausea
Surgical Procedure
A Nissen Fundoplication is typically performed under general anesthesia and takes about two to three hours. During the procedure, the surgeon will make several small incisions in the abdomen and insert a laparoscope (a thin, flexible tube with a camera on the end) and other surgical instruments. The upper part of the stomach is then wrapped around the lower part of the esophagus and stitched into place. The procedure is considered minimally invasive and patients usually recover quickly.
Recovery
Patients typically spend one or two nights in the hospital after the procedure. During this time, they will be monitored for any complications and given pain medication as needed. Patients will need to follow a strict diet for several weeks after the procedure, consisting of mostly liquids and soft foods. They will also need to avoid strenuous activity for several weeks. Most patients can return to normal activities within a few weeks of the procedure.
Risks
As with any surgical procedure, there are some risks associated with Nissen Fundoplication. These can include:
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Infection
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Bleeding
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Difficulty swallowing
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Gas bloat syndrome
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Recurrence of symptoms
However, the vast majority of patients experience significant improvement in their symptoms following the procedure.