How do I fix failed Nissen fundoplication?

Redo Anti-Reflux Surgery (Treatment) The most common procedure will be a redo laparoscopic Nissen fundoplication. The procedure may need to be done via a laparotomy (an incision in the abdomen) in selected patients. If multiple surgeries have failed, an esophagectomy (esophageal replacement) may be required.

How do I know if my Nissen fundoplication failed?

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 come undone?

Complications include “gas bloat syndrome”, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, vagus nerve injury and, rarely, achalasia. The fundoplication can also come undone over time in about 5–10% of cases, leading to recurrence of symptoms.

What are some long-term effects of Nissen fundoplication?

continued difficulty swallowing where you cannot swallow most foods normally

What to expect following Nissen fundoplication?

Nissen Fundoplication: What to Expect at Home. Your Recovery. 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.

What are the most common side effects from a laparoscopic Nissen fundoplication?

Fundoplication surgery can cause you to feel bloated and make it hard to swallow. These side effects may last for 30 days or longer, and some side effects may require a second surgery to fix. Serious side effects, such as infection and heart attack, may be more common with surgery than with medicine.

What to eat after Nissen fundoplasty?

Vanilla and strawberry-flavored ice cream