How painful is fundoplication surgery?

You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.

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Is Nissen fundoplication surgery painful?

There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation. It will disappear on its own.

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How long do you stay in hospital after fundoplication?

Expect stay in the hospital one to two days after this procedure. On the morning after your procedure you will get a swallowing study to make sure everything is in the proper place. After that, you will start on a liquid diet.

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How long does a fundoplication operation take?

During a Nissen fundoplication

The procedure normally takes about 1 hour to 1 hour 30 minutes. The surgeon makes 4 to 5 small cuts in your tummy (abdomen). They insert instruments through these cuts to do the surgery.

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Is fundoplication a major surgery?

A laparoscopic fundoplication surgery to treat GERD or hiatal hernia is still major surgery and the patient and surgeon should think of it in that light.

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Fundoplication

17 related questions found

Is fundoplication surgery worth it?

Nissen fundoplication not only relieves symptoms of acid reflux, but it can also help prevent future complications—even for patients whose acid reflux symptoms are mostly well managed by medications. Oftentimes, these patients are unaware of the long-term effects of GERD.

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How long does it take to fully recover from fundoplication surgery?

How quickly you recover depends on which type of surgery you had. After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work. After open surgery, you may need 4 to 6 weeks to get back to your normal routine.

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How much weight do you lose after fundoplication?

The capacity of the stomach is decreased slightly and it doesn't distend as much until healing occurs. On average, our patients lose approximately 10% of their weight. For this reason, it is extremely important for patients to understand their protein and caloric needs following surgery.

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Can you ever eat normally after Nissen fundoplication?

You should be able to progress to a soft-normal diet 4 – 6 weeks after surgery. What is a soft-normal diet? A soft-normal diet involves gradually introducing more solid textures to your diet. While you are having a soft-normal diet you should avoid the same foods you were advised to avoid on page 4.

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What are the drawbacks to fundoplication?

Nissen fundoplication

Although this works well to control reflux, it can also cause complications such as bloating and swallowing difficulties, called dysphagia. In some people, these complications persist after surgery.

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Can you ever vomit after fundoplication surgery?

I have found that most of my patients have excellent control of their GERD symptoms with a fundoplication wrap that still allows the majority of them to belch and vomit.

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Why can't you throw up after a fundoplication?

This is the name given to the most common operation to stop reflux. The operation helps to prevent vomiting and reflux by “wrapping” the top part of the stomach around the bottom part of the oesophagus. This tightens the oesophagus and prevents backflow of food and stomach acid.

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What not to eat after fundoplication surgery?

Avoid any foods that cause stomach gas and distention. These foods include corn, dried beans, peas, lentils, onions, broccoli, cauliflower and any food from the cabbage family. Avoid carbonated drinks, alcohol, citrus and tomato products.

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Is Nissen fundoplication a serious surgery?

However, it is major surgery and it has its own risks associated with it.

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Why does my Nissen fundoplication hurt after eating?

This is because your stomach is slightly smaller. Eating or drinking too much at once can cause discomfort. This should slowly get better over about 6 to 8 weeks.

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Do people lose weight after Nissen fundoplication?

Nissen procedure is associated with some weight loss but not enough when compared to gastric sleeve surgery or gastric bypass procedure.

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Is it hard to breathe with Nissen fundoplication?

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.

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Why is it hard to swallow after Nissen 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.

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Can you gain weight after a Nissen fundoplication?

Postoperative weight gain may lead to fundoplication failure to contain reflux due to the increase in intra-abdominal pressure and modification of the gastroesophageal pressure gradient 14 , 23 . In this case, a new surgery may be necessary to control weight and preserve the anti-reflux mechanism.

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Is fundoplication like gastric bypass?

Laparoscopic fundoplication (LF) is the standard surgical procedure for the treatment of gastro-oesophageal reflux disease (GORD). Laparoscopic Roux-en-Y gastric bypass (LRYGB) is commonly performed to achieve weight loss in obese patients, but it also has anti-reflux properties.

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What are the long term side effects of Nissen fundoplication?

Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may limit the success of antireflux surgery[12,13].

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What is dumping after 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.

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Is your stomach smaller after Nissen fundoplication?

The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat. In 2 to 3 months, the stomach adjusts. You will be able to eat your usual amounts of food.

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How painful is recovery from hiatal hernia surgery?

There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation. It will disappear on its own.

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What is the downside of hiatal hernia surgery?

The most common complications are difficulty swallowing, abdominal bloating, diarrhea, and nausea. Most patients can't belch as well as they could before surgery, although the inability to belch is distinctly uncommon. About 25% of patients can't vomit after surgery.

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