What is a Nissen fundoplication procedure?

Laparoscopic anti-reflux surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.

What are the types of fundoplication?

Several types of fundoplication are possible:

• Nissen 360-degree wrap. The fundus is wrapped all the way around the bottom of your esophagus to tighten the sphincter.
• Toupet 270-degree posterior wrap.
• Watson anterior 180-degree wrap.

Why is it called Nissen fundoplication?

The 360-degree fundoplication or Nissen fundoplication, the most reliable treatment for GERD, is named after Dr. Rudolf Nissen. A German surgeon with great power of observation and astute judgment.

Is a Nissen fundoplication major surgery?

Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding. Infection.

Is Nissen fundoplication permanent?

Unlike antireflux medications, laparoscopic Nissen fundoplication offers permanent relief for gastroesophageal reflux disease (GERD). Using minimally invasive techniques, we wrap the upper end of your stomach around the lower end of your esophagus.

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 also limit the success of antireflux surgery.

Can you live a normal life after Nissen fundoplication?

We demonstrated a great response rate of 77.1%, with a mean follow-up of 3.7 years. In this study, we found excellent quality of life after Nissen fundoplication. Nissen fundoplication has been proven effective in reducing GERD and preventing recurrence, even at the long-term follow-up.

Is there an alternative to fundoplication?

Two new laparoscopic alternatives have recently been introduced – the magnetic sphincter augmentation device (LINX) and the Electrical stimulator of the lower esophageal sphincter (ENDOSTIM).

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.

Can fundoplication last forever?

For a majority of patients, laparoscopic Nissen fundoplication is reported to have resulted in lasting relief. The procedure improves quality of life and is superior to being on lifelong medication. A small percentage of people may have persisting symptoms.

What is the newest procedure for acid reflux?

A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD). During the procedure, a surgeon creates a sphincter (tightening muscle) at the bottom of the esophagus to prevent acid reflux. Most people notice a significant decrease in acid reflux symptoms after the surgery.

What are some long-term effects of Nissen fundoplication?

Complications Are More Common Than Your Surgeon Might Tell You Bloating. A bloated belly is a very common side effect of the fundoplication. Difficulty Swallowing. In some patients, the surgery leads to difficulty swallowing. Damaged Vagus Nerve. The vagus nerve controls our digestive system, including the valve between the stomach and esophagus. Not All Fundoplications Last Forever.

How to pronounce Nissen?

Pronunciation of Nissan: Learn how to pronounce the word Nissan.Definition and meaning can be found here: https://www.google.com/search?q=define+NissanThey w…

What happens when a Nissen fundoplication Come Undone?

What happens when a Nissen fundoplication come undone? Complications. Complications include “gas bloat syndrome”, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, vagus nerve injury and, rarely, achalasia. The fundoplication can also come undone over time in about 5–10% of cases, leading to recurrence of symptoms.

What is Nissen fundoplasty?

Nissen Fundoplication. A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD). During the procedure, a surgeon creates a sphincter (tightening muscle) at the bottom of the esophagus to prevent acid reflux. Most people notice a significant decrease in acid reflux symptoms after the surgery. Appointments & Access.