LAP NISSEN FUNDOPLICATION PROCEDURE FOR REFLUX
NISSEN SURGERY HELPS PREVENT REFLUX BY SUPPORTING THE LOWER ESOPHAGUS WITH THE UPPER STOMACH.
Nissen fundoplication is a surgical procedure designed to prevent acid reflux by reinforcing a weak lower esophageal sphincter with the patient’s own stomach tissue. During the procedure the upper portion of the stomach is completely wrapped (plicated) around the bottom of the lower esophagus and then stitched into place to create a strong barrier that prevents stomach acid from backing into the esophagus.
Depending on your physician’s recommendation, Nissen fundoplication can be completed through open surgery, which is done through a long incision in your abdomen, or, more commonly, through laparoscopic surgery, which requires 3-4 small incisions to the abdomen. Patients typically spend a few days in the hospital following surgery, and can return to work within 2-3 weeks after laparoscopic surgery, and 4-6 weeks after open surgery.
- The Lap Nissen is the most invasive of the anti-reflux procedures
- Post-operation bloating can last for months
- Dysphasia (difficulty swallowing) can last up to 6-8 weeks after the procedure for some patients
- Lowers vomiting frequency, causing some patients to feel like they've lost the ability to vomit
- One of the most studied anti-reflux surgeries, there are over 60 years of data on the durability of the Lap Nissen procedure
- 90-95% of patients with heartburn will come off their daily heartburn medication post-procedure
- Works well for additional symptoms of GERD other than heartburn, while certain other procedure target only heartburn
- Patients don't need to be weaned off their medications, they simply stop taking them post-surgery
One of the biggest benefits of the Lap Nissen is that patients can immediately stop taking their daily heartburn medications after the procedure is completed, rather than being weaned off the medications. After the surgery, patients are required to stay overnight in the hospital for observation. You'll be placed on a liquid diet for two weeks following the surgery, a semi-solid diet for weeks 3 and 4, and should be back to a fully unrestricted diet by 8 weeks after the procedure. It is also recommended that patients take two weeks off of work following the procedure.