(GERD). GERD is also called acid reflux or heartburn. This occurs when acid from the stomach goes up the esophagus. A
may also be fixed during the procedure. This type of hernia occurs when a portion of the stomach pokes into the chest cavity. This hernia increases the chance and severity of GERD.
2009 Nucleus Medical Media, Inc.
Reasons for Procedure
The surgery is most often done for the following reasons:
Eliminate persistent GERD symptoms that are not relieved by medicine
Correct acid reflux that is contributing to
Repair a hiatal hernia, which may be responsible for making GERD symptoms worse
Eliminate the source of serious, long-term complications resulting from too much acid in the esophagus
If you are planning to have fundoplication, your doctor will review a list of possible complications, which may include:
Return of reflux symptoms
Limited ability to burp or vomit
Damage to organs
In rare cases, the procedure may need to be repeated. This may happen if the wrap was too tight, the wrap slips, or if a new hernia forms.
Some factors that may increase the risk of complications include:
Arrange for a ride to and from the hospital. Also, arrange for help at home.
The night before, eat a light meal. Do not eat or drink anything after midnight.
will be used. It will block any pain and keep you asleep through the surgery.
Description of the Procedure
Open Procedure/Nissen Fundoplication
A wide incision will be made in the abdomen. This is to expose the stomach and lower esophagus. The doctor will wrap the upper portion of the stomach around the esophagus. This will create pressure on the lower part of the esophagus. It will prevent stomach acid from moving up the esophagus. If a hiatal hernia exists, the stomach will be placed entirely back in the abdomen. The doctor will then tighten the opening in the diaphragm where the hernia poked through.
How Long Will It Take?
How Much Will It Hurt?
You will have discomfort during recovery. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
Walk with assistance the day after surgery.
Keep the incision area clean and dry.
You will start by eating a liquid diet. You will slowly be able to eat more solid foods.
After a successful fundoplication, you may no longer need to take medicines for GERD.
Be sure to follow your doctor's
It will take about six weeks to recover.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
Increased swelling or pain in the abdomen
Difficulty swallowing that does not improve
Pain that you cannot control with the medicines you have been given
Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a