What are the symptoms of a failed Nissen fundoplication?

What are the symptoms of a failed Nissen fundoplication?

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.

What happens when a Nissen fundoplication is too tight?

If the wrap is too tight, there may be persistent difficulty in swallowing. This can occur in 20% of patients immediately after surgery but drops to about 5% after one to two months. Four percent of patients will need dilation of the esophagus.

What is dumping syndrome after Nissen fundoplication?

Dumping syndrome may occur when a large volume of gastric content is delivered to the duodenum or jejunum, resulting in both gastrointestinal and vasomotor symptoms. Occasionally, dumping syndrome may be a complication in patients that have undergone nissen Fundoplication, especially in adults.

How long does dysphagia last after fundoplication?

Transient dysphagia occurs in 40% to 70% of patients after Nissen fundoplication. This is thought to be secondary to edema at the gastroesophageal junction (GEJ) or transient esophageal hypomotility. Fortunately, dysphagia usually resolves spontaneously within 2 to 3 months.

Can you still vomit after fundoplication?

Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery. In some cases, the purpose of this operation is to correct excessive vomiting.

Do you lose weight after a fundoplication?

Conclusion: Fundoplication combined with mediogastric plication produced a total recovery from gastroesophageal reflux disease and an excess weight loss of 62% in 87.5% of patients after 1 year of follow-up. This procedure is technically feasible, and no serious procedure-related complications occurred.

Can you burp after fundoplication?

Conclusion: After fundoplication, patients do not belch as a result of gastro-oesophageal gas reflux; rather it may be due to oesophagopharyngeal reflux of swallowed air. Subjective reporting of belching ability is inaccurate and manometric measurement of common cavities provides a better means of assessment.

Can you eat normally after Nissen fundoplication?

When will I be able to eat a soft diet? After Nissen fundoplication surgery, your diet will be advanced slowly by your surgeon. Generally, you will be on a clear liquid diet for the first few meals. Then you will advance to the full liquid diet for a meal or two and eventually to a Nissen soft diet.