Should I have fundoplication surgery?
Doctors may recommend fundoplication for people with severe GERD symptoms who cannot find relief using more conservative approaches. The symptoms of GERD can be painful and reduce a person’s quality of life. They may also cause complications if the person does not receive treatment.
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 …
What is fundoplication surgery used for?
Fundoplication is a surgical procedure used to treat stomach acid reflux.
When should you have reflux surgery?
People with severe, chronic esophageal reflux might need surgery to correct the problem if their symptoms are not relieved through other medical treatments. If left untreated, chronic gastroesophageal reflux can cause complications such as esophagitis, esophageal ulcers, bleeding, or scarring of the esophagus.
How painful is fundoplication surgery?
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%.
How many years 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.
Who is a candidate for fundoplication?
If a GERD patient is obese with a BMI more than 40 then weight loss surgery in the form of Roux-en-Y gastric bypass or sleeve gastrectomy is preferred over fundoplication. Weight loss surgery results in significant weight loss that helps control acid reflux.
Can you still vomit after fundoplication?
Just as other body parts, the fundoplication wrap created during the GERD surgery will slowly loosen over time. Therefore even some patients that originally could not burp or vomit will be able to do so as the wrap loosens.
How much does a Nissen fundoplication cost?
On MDsave, the cost of a Nissen Fundoplication – Laparoscopic ranges from $8,847 to $15,762. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.
How successful is fundoplication surgery?
Laparoscopic Nissen fundoplication has become the method of choice in antireflux surgery providing good short-term outcome in over 90% of patients, an associated morbidity rate of less than 10%, and only a 5% incidence of new-onset dysphagia[5-10,12,13].
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.
How long does fundoplication surgery take?
The surgery may take around three hours, after which a patient may take a few more hours to recover from anesthesia. A Nissen fundoplication is a surgical procedure that treats gastroesophageal reflux disease (GERD), commonly known as acid reflux disease or hiatus hernia.