How much weight do you lose after Nissen fundoplication?

How much weight do you lose after Nissen 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.

Does GERD surgery cause weight loss?

ACID REFLUX AND WEIGHT LOSS Losing weight is a key component in treating GERD. For patients with acid reflux, weight loss decreases the pressure within the abdominal cavity (also called intra-abdominal pressure or IAP). Weight loss surgery (bariatric surgery) reduces GERD symptoms by decreasing IAP.

Can a fundoplication come undone?

The fundoplication can also come undone over time in about 5–10% of cases, leading to recurrence of symptoms. If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection.

How long does a 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.

Can you throw up after a lap Nissen?

Abstract. The Nissen fundoplication is the most common anti-reflux operation performed. Gas bloat and inability to vomit after repair may be severe, but infrequently require reoperation; in contrast, other complications can be very debilitating or life-threatening.

Does insurance cover Nissen fundoplication?

Although patients may end up fighting for coverage for other procedures like the TIF or the Linx, the Lap Nissen procedure is generally covered in some capacity by all insurances, and typically fully covered by Medicaid….

How long does dysphagia last after Nissen?

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.

What are the most common causes of dysphagia?

Some of the causes of esophageal dysphagia include:

• Achalasia.
• Diffuse spasm.
• Esophageal stricture.
• Esophageal tumors.
• Foreign bodies.
• Esophageal ring.
• GERD .
• Eosinophilic esophagitis.

Does Nissen fundoplication cause gas?

“Gas-bloat” syndrome is a well known Nissen fundoplication postoperative complication. It may cause severe gastric dilatation, but very rarely an ischemic compromise of the organ….

What is persistent dysphagia?

Chronic dysphagia is trouble swallowing. It occurs when you have trouble moving food or liquid down your esophagus to your stomach. It may occur when you eat, drink, or any time you try to swallow.

Does dysphagia go away?

Dysphagia can come and go, be mild or severe, or get worse over time. If you have dysphagia, you may: Have problems getting food or liquids to go down on the first try.

What is the best medicine for dysphagia?

Diltiazem: Can aid in esophageal contractions and motility, especially in the disorder known as the nutcracker esophagus. Cystine-depleting therapy with cysteamine: Treatment of choice for patients with dysphagia due to pretransplantation or posttransplantation cystinosis….

What type of doctor treats dysphagia?

See your doctor if you’re having problems swallowing. Depending on the suspected cause, your doctor may refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist) or a doctor who specializes in diseases of the nervous system (neurologist)….