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Nissen Fundoplication - Laparoscopic

This page will provide you with information about Laparoscopic Nissen Fundoplication. For further details, you should speak to your consultant.

What is nissen fundoplication?

When acid comes up from your stomach and into your oesophagus (your gullet), this is known as acid reflux. This occurs when the valve between your stomach and your oesophagus is not working properly. Acid reflux can lead to acid in the back of your mouth and heartburn (see figure 1).

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Are there any other options, other than surgery?

Certain medications can lower the acid content in your stomach, meaning inflammation can be healed and acid content is reduced. Surgery, however, is advised only if the symptoms persist or if you believe having an operation would be a better option than continuous medication.

What does the procedure involve?

The surgery is carried out under a general anaesthetic and will take approximately 2-3 hours. Several small cuts will be made by your surgeon on your abdomen, and they will then place surgical instruments, and a telescope, inside your abdomen in order to carry out the operation. Your diaphragm will be stitched by your surgeon in order to decrease the size of the hole your oesophagus passes through. The surgeon will then stitch the upper part of your stomach around the lower part of your oesophagus.

Risks and complications

Any risks or complications will be discussed in advance of your treatment with your expert consultant.

What are the advantages of having surgery?

Following surgery, the symptoms of acid reflux should be relieved. Long-term problems:

  • Continued difficulty swallowing
  • Loss of weight
  • Incomplete control of reflux symptoms
  • Diarrhoea
  • Discomfort in the abdomen

What is the recovery time?

You should be allowed to return home the next day. After 3-4 weeks, you should be able to go back to work. However, this is dependent on the your type of work and the extent of your surgery. Frequent exercise can enable you to return to regular daily activities as soon as possible. Before you commence any kind of exercise programme, however, you should always seek advice from your consultant. A complete recovery should be made, and any symptoms of acid reflux should be vastly improved or gone entirely.

Summary

Unpleasant acid in your mouth and heartburn can persist as a result of acid reflux. This acid can mean that the lining of your oesophagus becomes scarred or inflamed. Surgery could be the best option for you if your symptoms persist, despite taking medication.

 

References: EIDO Healthcare Limited - The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare.

The information should not replace advice that your relevant health professional would give you.

 

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