Can you repair a Nissen fundoplication?
This condition can cause severe acid reflux or GERD symptoms. Often, these symptoms can be treated with medications, but if those don’t work, your doctor may offer surgery as an option. Nissen fundoplications and paraesophageal hernia repairs are often done together.
What happens when a Nissen wrap comes undone?
Complications. Complications include “gas bloat syndrome”, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, vagus nerve injury and, rarely, achalasia. The fundoplication can also come undone over time in about 5–10% of cases, leading to recurrence of symptoms.
What causes a Nissen fundoplication to come undone?
It is rare for the fundoplication to become completely undo. Often, over time it can become less effective, however. This is usually due to stretching of the wrap over time, making it less effective. Development of a hiatial hernia can also lessen the effectiveness of the wrap.
What happens when a fundoplication slips?
If the procedure is performed improperly, however, the fundoplication can slip down onto the body of the stomach, resulting in recurrent reflux and possible obstruction.
Can a fundoplication be redone?
In summary, carefully selected patients who have recurrent or persistent problems after fundoplication can safely undergo redo fundoplication with good results. In experienced hands, most patients can be approached laparoscopically.
Can you have a Nissen fundoplication twice?
A redo surgical fundoplication (or stomach wrap), however, can be challenging and complicated for even very experienced surgeons due to the presence of scar tissue. Consequently, a revision surgery carries increased potential to damage the esophagus, stomach, and surrounding structures such as nearby nerves.
How do I know if my Nissen fundoplication has come undone?
Recurrence or persistence of reflux symptoms (i.e., heartburn and regurgitation) and postoperative persistent dysphagia are the most common indicators for failure of Nissen fundoplication. Recurrent or persistent reflux symptoms and/or dysphagia occur in about 8% of patients after Nissen fundoplication.
How do I know if my Nissen fundoplication failed?
What are the symptoms of a failed Nissen fundoplication?
Can a Nissen wrap be repaired after hiatal hernia?
The good news is that if your previous Nissen wrap has slipped, or if you have developed a new hiatal hernia, these too can be repaired and you have a very high probability of returning to a symptom-free life again. Here are some suggestions for your consideration:
How does the surgeon do the Nissen fundoplication?
During laparoscopic Nissen fundoplication, the surgeon: Makes four to five small incisions in your abdomen. Inserts a laparoscope (small tool with a camera) into your abdomen. Uses the camera images and tiny operating tools to wrap the upper stomach around the lower esophagus. Closes the incision with stitches.
Do you need an expert for a Nissen redo?
An expert is essential for an initial Nissen, but it is even more critical with a redo. According to Doctors Minjarez and Jobe: “Redo surgery can be technically challenging in even the most experienced hands.
What does slipped Nissen mean in medical terms?
Such failure presents in the form of slipped Nissen with or without recurrent hiatal hernia. Slipped Nissen fundoplication is the axial movement of the esophagus back into the chest due to poor mobilization.