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Nissen Fundoplication

Discussion in 'All Categories' started by Fatima - Jul 15th, 2024 11:24 am.
Fatima	Why is Nissen fundoplication done and what are the complications?
re: Nissen Fundoplication by Dr. B. S. Bhalla - Jul 15th, 2024 11:26 am #1
Dr. B. S. Bhalla	Nissen fundoplication is a surgical procedure performed to treat gastroesophageal reflux disease (GERD) and its associated complications. The main objectives are: Prevent Acid Reflux: By wrapping the upper part of the stomach (the fundus) around the lower end of the esophagus, the procedure strengthens the lower esophageal sphincter (LES). This prevents stomach acid from flowing back into the esophagus. Repair Hiatal Hernia: It is also used to repair a hiatal hernia, a condition where a part of the stomach pushes up through the diaphragm into the chest cavity, often worsening GERD symptoms. Improve Quality of Life: By reducing acid reflux and related symptoms such as heartburn, regurgitation, and chest pain, it aims to improve the patient's overall quality of life. Complications of Nissen Fundoplication Like any surgical procedure, Nissen fundoplication carries potential risks and complications, which can be immediate or long-term: Dysphagia (Difficulty Swallowing): Some patients may experience difficulty swallowing immediately after the surgery due to the tightness of the wrap. This usually improves over time but can persist in some cases. Gas-Bloat Syndrome: Patients may have difficulty burping, leading to bloating and discomfort from trapped gas. Esophageal Perforation: Although rare, there is a risk of perforating the esophagus during surgery. Wrap Slippage: The fundoplication wrap can slip, causing recurrent GERD symptoms or other issues. Persistent or Recurrent GERD Symptoms: Some patients might continue to experience GERD symptoms even after surgery. Bloating and Flatulence: An increase in bloating and gas is common as patients might have difficulty expelling air from the stomach. Dumping Syndrome: Rapid gastric emptying can occur, leading to symptoms like nausea, vomiting, diarrhea, and abdominal cramps. Infection and Bleeding: As with any surgery, there is a risk of infection and bleeding. Anesthesia Risks: General anesthesia has its own set of risks, including reactions and complications.