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. This procedure is technically feasible, and no serious procedure-related complications occurred.
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).
Is your stomach smaller after Nissen fundoplication?
The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat.
Can you lose weight with Nissen Fundoplication?
Nissen procedure is associated with some weight loss but not enough when compared to gastric sleeve surgery or gastric bypass procedure. Neumayer et al published a study in 2005 in Surgical Endoscopy showing significant weight loss after Nissen fundoplication.
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. As a result, we observed common postoperative side effects including inability to belch, abdominal bloating, and increased flatulence.
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.
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.
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.
How do I know if my Nissen fundoplication failed?
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 still vomit 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.
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.
What is the success rate of Nissen Fundoplication?
Johansson et al4 also reported a 21% dysphagia rate, 18% recurrent reflux rate, and 84% overall success rate for Nissen fundoplication at 5 years’ follow-up, whereas Luostarinen et al6 reported an overall success rate of 76% at 20 years’ follow-up.
Can a fundoplication come undone?
The fundoplication can also come undone over time in about 5 to 10% of cases1. We want to present a patient with mixed (sliding and paraesophageal) a hiatal hernia developed after Nissen fundoplication surgery.
Is Fundoplication a major surgery?
Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding.
How long does fundoplication surgery last?
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.
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.