Can you lose weight with Nissen Fundoplication?

Nissen gastric fundoplication used in the treatment of gastroesophageal reflux disease induces a small but significant weight loss.

How much weight should I lose with the Nissen fundoplication?

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).

Can you eat normally after Nissen fundoplication?

You will be on a full liquid diet for 2-3 weeks to help you heal. The full liquid diet includes any clear liquids, fruit and vegetable juices, cooked cereals, milk, yogurt, strained soups and frozen desserts. Purees allow you to eat thin, pourable foods. These foods have an applesauce-like consistency.

What are the side effects of fundoplication?

Mechanical side effects of total fundoplication may lead to a functional obstruction in the gastroesophageal junction and to an inability to vent air from the stomach[12]. As a result, we observed common postoperative side effects including inability to belch, abdominal bloating, and increased flatulence.

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How long will a Nissen fundoplication last?

Conclusion: Laparoscopic fundoplication has a symptomatic success of 63% for regurgitation and heartburn at 20-year follow up.

Can I drink coffee after Nissen fundoplication?

Avoid caffeine, carbonated drinks, alcohol, citrus and tomato products. When will I be able to eat a soft diet? After Nissen fundoplication surgery, your diet will be advanced slowly.

What is dumping syndrome after Nissen fundoplication?

ABSTRACT. Dumping syndrome (DS) is a debilitating entity with gastrointestinal and vasomotor symptoms due to rapid gastric emptying. It is a rare complication of Nissen fundoplication in adults.

How painful is Nissen fundoplication?

Abdominal pain and chest pain following laparoscopic fundoplication were reported in 24.0% and 19.5% of patients respectively. Pain was mild or moderate in the majority and severe in 4%. Frequency of pain was not associated with operation type.

When can I eat normally after fundoplication?

After your first 2 weeks, you can advance to a soft diet. In general this diet is Level 1 plus “anything you can squish through your fingers” but you can also start trying slippery noodles, white fish, minced chicken and soft, cooked vegetables that are chewed well. Take it slowly. Eat small bites, chew well!

What are the symptoms of a failed Nissen fundoplication?

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).

Can you be sick after fundoplication?

You will probably not be able to vomit after fundoplication surgery. When you were discharged from the hospital, you were given a prescription for Compazine (Prochlorperazine). This is for nausea and vomiting.

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Is Fundoplication a major surgery?

The surgery is minimally invasive and has a shorter recovery time than open surgeries. Some people may experience both short- and long-term complications, such as increased gas in the abdomen. Fundoplication surgery is not a replacement for other treatment methods.

Can I eat chocolate after Nissen fundoplication?

Full Liquid Diet After Nissen Fundoplication Surgery

The full liquid diet contains anything on the clear liquid diet, plus: Milk, soy, rice, and almond (no chocolate) Cream of wheat, cream of rice, grits. Strained creamed soups (no tomato or broccoli)

What is a slipped Nissen?

A slipped Nissen fundoplication has been defined in numerous ways including: (1) transthoracic migration of the wrap, (2) slipping of the wrap inferiorly with wrap over the stomach rather than over the esophagus, and (3) using the body of the stomach rather than the fundus to perform the wrap.

Can you still get heartburn after Nissen fundoplication?

Recurrent or persistent reflux symptoms and/or dysphagia occur in about 8% of patients after Nissen fundoplication. In a series of 50 patients who required reoperation after a failed Nissen fundoplication, heartburn and regurgitation were the most common presenting symptoms [3].

Can a fundoplication come undone?

The fundoplication can also come undone over time in about 5–10% of cases, leading to recurrence of symptoms. If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection.

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