Can Nissen fundoplication cause shortness of breath?
Shortness of breath may result from a slipped Nissen fundoplication, aka recurrent hiatal hernia. Shortness of breath may be precipitated by a heavy meal or gas accumulation in stomach. Obviously, shortness of breath is worse with a larger herniated stomach size.
What happens when a Nissen fundoplication come undone?
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.
What are some of the changes that can result in failure of antireflux barrier?
Conclusions Failure of the crural closure and malformation of the wrap are the main reasons for failure of antireflux procedures. Use of proper surgical techniques including meticulous closure of the crura and appropriate construction and fixation of the wrap at the first operation will help prevent recurrence.
What are the long term side effects of Nissen fundoplication?
Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms. Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may also limit the success of antireflux surgery.
Can you reverse a Nissen fundoplication?
The fundoplication procedure cannot be reversed, and in some cases it may not be possible to relieve the symptoms of these complications, even with a second surgery.
Can you undo a Nissen fundoplication?
Note that the procedure cannot be reversed fully. Surgeons can only reconstruct the stomach as best as possible, but even this may result in additional nerve damage and complications. Few surgeons are willing to even attempt a fundoplication take down. These images show a Nissen Fundoplication.
Can Nissen 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.
What are the possible complications of a Nissen fundoplication?
Case histories of 25 patients are reported in whom complications after a Nissen fundoplication were sufficiently severe to require reoperation. Patients were classified by complications as having postoperative dysphagia (14), recurrent reflux (seven), “gas bloat” syndrome (two), and paraesophageal hernia (two).
What is the Nissen fundoplication takedown Facebook group?
Gina runs a fast-growing Facebook group called “ Nissen Fundoplication Takedown .” It’s a forum for people who are having problems with their Nissen surgery. In this interview, Gina will share insider information about the surgery and what she has learned from managing her 500 member Nissen reversal group.
How does Nissen’s fundoplication prevent dysphagia?
Complete mobilisation of the gastric fundus with division of the short gastric vessels (Classic Nissen’s fundoplication) ensures a floppy tension-free fundoplication, thus preventing dysphagia from a tight wrap or twisted oesophagus [11,17-19].
What problems can derive from a fundoplication surgery?
I understand a lot of problems can derive from this horrid surgery. My wife had the Open Nissen fundoplication surgery done nearly 14 years ago and the vagus nerve was affected, and she ended up totally disabled, with severe problems, the worst of which was constant syncope with exertion some 2-4 times per day after the surgery.