Nissen Fundoplication is a surgery in which a sphincter at the bottom of the esophagus is created by a surgeon to prevent acid reflux to treat gastroesophageal reflux disease (GERD).
Some facts about Nissen Fundoplication:
GERD or chronic acid reflux is a digestive system disorder in which your stomach acid and contents persistently flow back up through your esophagus.
A significant decrease in acid reflux symptoms can be noticed after the surgery.
Heartburn, regurgitation and dysphagia (difficulty swallowing) are common symptoms of gastroesophageal reflux disease.
Nissen fundoplication surgery is recommended for those people who does not get relief from acid reflux symptoms with medication or lifestyle changes.
Preparation for Nissen Fundoplication:
Your medical history and any prescription drugs or supplements youâre taking will be discussed by your healthcare provider.
Inform your healthcare provider if you have a history of bleeding disorders and let him know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting as you may need to stop taking these medicines before the procedure.
If you are sensitive to or allergic to any medicines, latex, tape, contrast dyes, and anesthesia medicines (local and general), that should be informed.
All the medicines you take including both over-the-counter and prescription medicines and also any vitamins, herbs, and other supplements should be informed.
Do not eat or drink anything for up to 12 before the surgery.
You should stop smoking temporarily or permanently if youâre ready to quit as smoking can make it harder for your body to heal after surgery.
Any medications that is provided by your surgeon you should be taken right before surgery.
Your surgeon may order some test to examine your stomach and esophagus.
GI X-rays (barium swallow X-rays) can be done to take images of your esophagus, stomach and small intestine.
The pressure in your esophagus when you swallow can be measured by a Esophageal manometry.
The upper part of your stomach can be examined by Upper endoscopy.
A pH probe will be done to look for evidence of acid in the esophagus.
Any narrowing in your esophagus can be accessed by using these test.
These test can also done to look for a hiatal hernia which can worsen GERD symptoms.
Procedure for Nissen Fundoplication:
An intravenous (IV) medication will be given so that you fall asleep
The junction between the esophagus and the stomach is tightened to prevent acid reflux in the procedure for Nissen Fundoplication.
Laparoscopic and Open are two types of Nissen fundoplication surgery.
A tiny incisions (cuts) and cameras are used to view inside the body in laparoscopic procedures.
Laparoscopic Nissen fundoplication is a minimally invasive procedure in which the function of the lower esophageal sphincter can be restored by wrapping the stomach around the esophagus.
A new 'functional valve' will be created between the esophagus and the stomach that prevents reflux of the acid and bile (non-acidic fluid) from the stomach into the esophagus.
Larger incisions are used in open procedure so that the surgeon can access inside the body with larger instruments and more range of motion.
The upper part of the stomach (fundus) will be wrapped around the lower part of the esophagus and the incision will be closed with staples during open acid reflux surgery.