How long does Nissen fundoplication last?
Although widely quoted, the study of DeMeester et al,3 which demonstrated a positive outcome for 91% of patients undergoing open Nissen fundoplication, extrapolated a 10-year outcome through an actuarial analysis with a series that reported an average follow-up of 45 months.
Why is a Nissen fundoplication performed?
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.
Does Nissen fundoplication cause gas?
“Gas-bloat” syndrome is a well known Nissen fundoplication postoperative complication. It may cause severe gastric dilatation, but very rarely an ischemic compromise of the organ.
What is gas bloat syndrome?
What is gas-bloat syndrome? The passage of gas is normal. The problem is when the gas becomes excessive and is associated with abdominal pain or social embarrassment. Factors which result in excessive gas often include anxiety, gulping of food, chewing gum, sucking on hard candy, or drinking through a straw.
Who is not a candidate for Nissen fundoplication surgery?
At Houston Heartburn and Reflux Center, very few acid reflux patients are not candidates for Nissen fundoplication, the gold standard treatment for GERD. Weak motility and previous Nissen fundoplication surgery are not absolute contraindications for Nissen fundoplication surgery.
Which symptom indicates the need for Nissen fundoplication surgery?
The presence of extraesophageal manifestations of GERD may indicate the need for surgery; these include the following: (1) respiratory manifestations (eg, cough, wheezing, aspiration); (2) ear, nose, and throat manifestations (eg, hoarseness, sore throat, otitis media); and (3) dental manifestations (eg, enamel erosion …
Who is a good candidate for fundoplication?
Candidates for a Nissen Fundoplication Patients whose heartburn is not well-controlled by medication, or who are having troubling side effects, may be candidates for this surgery. The procedure may also be recommended for patients experiencing serious complications of GERD, such as: Ulcers.