Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) by reinforcing the lower esophageal sphincter, which is the muscle connecting the esophagus to the stomach. This procedure is named after Dr. Rudolph Nissen who first described it in 1955. It is a commonly performed surgery with high success rates in reducing symptoms of GERD such as heartburn, regurgitation, and chest pain.
Indications for Nissen Fundoplication
Nissen fundoplication is recommended for patients who have not responded to conservative treatments for GERD such as lifestyle changes, medications, or endoscopic procedures. It is also indicated for patients with severe complications of GERD such as Barrett’s esophagus or esophageal strictures.
Types of Nissen Fundoplication
There are two main types of Nissen fundoplication: laparoscopic and open. Laparoscopic Nissen fundoplication is performed using minimally invasive techniques with small incisions and a camera to guide the surgeon. Open Nissen fundoplication involves a larger incision in the abdomen. Both procedures aim to create a new valve at the lower esophageal sphincter to prevent stomach acid from flowing back into the esophagus.
Risks of Nissen Fundoplication
Like any surgical procedure, Nissen fundoplication carries risks such as infection, bleeding, and complications related to anesthesia. Some patients may experience difficulty swallowing, bloating, or gas after the surgery. In rare cases, the newly created valve may become too tight, causing difficulty in swallowing or persistent bloating.
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In conclusion, Nissen fundoplication is a safe and effective treatment for GERD when conservative measures have failed. It is important to discuss the potential risks and benefits with your healthcare provider to determine if this surgery is the right option for you. With proper postoperative care and lifestyle modifications, patients can experience relief from the symptoms of GERD and improve their quality of life.
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