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Gastroenterology

GERD Surgery

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GERD Surgery

Nissen Fundoplication is a surgical procedure; generally, it is used to treat gastroesophageal reflux diseases (GERD). In this procedure, the surgeon wraps the stomach around the lower part of the esophagus, ensuring that the acid does not return to the esophagus.



Before Nissen Fundoplication


The General Surgeon or Gastroenterologist will review your medical history and ask questions about your symptoms, lifestyle, medical history, and if you are taking any medications.


Follow all the instructions of your General Surgeon or Gastroenterologist, do not eat any food or drink for 6 to 8 hours before the procedure.




During the Nissen Fundoplication 


During the Nissen fundoplication, the upper area of ​​the stomach (fundus) is folded. The General Surgeon or Gastroenterologist sews around the esophageal sphincter under a muscular valve located in the lower part of the esophagus. The Surgeon seeks to reinforce the lower esophageal sphincter, ensuring that the acid does not return to the esophagus. 


In case of presenting a hiatal hernia, it is possible to repair during the Surgery. The surgeon can also adjust the hiatus, the opening in the diaphragm that the esophagus passes through.



After the Nissen Fundoplication


After the Nissen fundoplication, you will be taken to the recovery room where you can stay for a couple of hours. The General Surgeon or Gastroenterologist can monitor and review your symptoms, while the effect of the anesthesia wears off.


You can return to your activities after a few weeks have passed. Follow the instructions of your General Surgeon, wash the wound area carefully, as directed, avoid substantial physical effort.


You may present some symptoms such as inflammation or pain; the General Surgeon will prescribe medications to calm the pain and swelling and the use of compresses.





¿Why do I need a Nissen Fundoplication? 


Nissen Fundoplication surgery is recommended to treat heartburn or reflux problems, following are some scenarios.


  • No improvement in symptoms, even taking medications

  • You do not want to continue taking medications

  • More serious issues occur in the esophagus, such as scarring, ulcers, or bleeding

  • You have a reflux disease that causes other conditions such as aspiration pneumonia, chronic cough, or hoarseness

  • There are conditions such as paraesophageal hernia, in this condition, a part of the stomach is stuck in the chest or presents torsion