A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. (wikipedia.org)
The most common indication for a fundoplication is GERD that has failed lifestyle modification and medical management. (wikipedia.org)
Nissen Fundoplication is primarily used to treat patients with GERD, or in other cases, patients diagnosed with a hiatal hernia, where the stomach pushes against the diaphragm. (glsurgical.com.sg)
Nurses need to be aware of treatment options and care of pediatric patients with severe GERD requiring surgical intervention, including common treatment modalities used prior to surgery and postoperative care necessary to promote positive results following fundoplication surgery. (medscape.com)
This article focuses on the outcomes associated with two fundoplication surgeries commonly used to treat GERD: nissen fundoplication (NF) and toupet fundoplication (TF). (medscape.com)
The aim of this study is to retrospectively describe a set of 23 CdLS patients who underwent Nissen Fundoplication (NF) for GERD, correlating with clinical and genetic features. (xwiki.com)
Background: Laparoscopic cruroplasty and fundoplication have become the gold standard in the treatment of hiatal hernia and gastro-oesophageal reflux disease (GERD). (maastrichtuniversity.nl)
Methods: We performed a systematic review of all clinical trials published between January 2004 and September 2015 describing the application of a mesh in the hiatal hernia repair during Nissen fundoplication for both GERD and hiatal hernia. (maastrichtuniversity.nl)
Surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter called Nissen fundoplication. (onteenstoday.com)
Transoral Incisionless Fundoplication (TIF) is a minimally invasive procedure with no incisions in the abdomen used by surgeons at Massachusetts General Hospital to treat gastroesophageal reflux disease (GERD) . (massgeneral.org)
Surgery17
In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia. (wikipedia.org)
This case demonstrates the issues of long-term fundoplication durability, the difficulties of revisional gastric surgery, and the risks of foreign bodies and erosion within the GI tract resulting in esophageal diverticulum formation. (sages.org)
What is Laparoscopic Nissen Fundoplication reflux surgery? (peptest.co.uk)
There are a number of surgical procedures available - here we look at the Laparoscopic Nissen Fundoplication surgery. (peptest.co.uk)
Nissen Fundoplication is usually done through laparoscopic surgery under general anaesthetic and takes about 1.5 hours - the abdomen is accessed by four incisions and inflated by gas. (peptest.co.uk)
Potential complications of fundoplication include perforation, abscess or herniation of tissues involved in surgery, excessive bleeding, collapsed lung and pneumonia though these complications are extremely rare. (westernsurgical.com)
Before the a laparoscopic approach was developed, fundoplication surgery required a large incision in the upper abdomen or the chest [thoracotomy]. (muschealth.org)
What Is Anti-Reflux Surgery / Nissen Fundoplication Used To Treat? (glsurgical.com.sg)
Replies to I was wondering if anyone has had the reverse Nissen Fundoplication surgery? (mayoclinic.org)
I was wondering if anyone has had the reverse Nissen Fundoplication surgery? (mayoclinic.org)
Mr Breeze advised that prior to mid-1997 he had been undertaking Nissen fundoplication surgery using the open approach (referred to as laparotomy) only. (hdc.org.nz)
To develop the laparoscopic technique, he attended two annual laparoscopic surgical conferences in Christchurch that addressed the technique of laparoscopic Nissen fundoplication surgery, including live video demonstrations by an international surgeon, and arranged to attend a training course on laparoscopic Nissen fundoplication surgery at the Royal Adelaide Hospital in June 1997. (hdc.org.nz)
Gastric emptying studies should not be routinely obtained, because there is only limited evidence in the literature to support a correlation between gastric emptying test results and postoperative outcomes from fundoplication. (medscape.com)
Intrathoracic gastric herniation after laparoscopic Nissen fundoplication is an uncommon but potentially life-threatening complication that may present in the early or late postoperative period. (unboundmedicine.com)
Measures should be undertaken to prevent postoperative vomiting after laparoscopic Nissen fundoplication. (unboundmedicine.com)
Despite high satisfaction rates after Nissen fundoplication, postoperative side effects, including dysphagia and gas-bloat, as well as recurrent reflux are potential risks. (sts.org)
Fundoplication and postoperative management. (hdc.org.nz)
Basic tenets of a Nissen fundoplication, regardless of operative approach, include: Reduction of the hiatal hernia and hernia sac, adequate esophageal mobilization to create at least 2-3 cm of intra-abdominal esophagus, division of the short gastric vessels, crural repair, creation of a short (1-2 cm), floppy fundic wrap around a large esophageal dilator incorporating the esophagus, and avoidance of injury to the vagus nerves. (sts.org)
Reflux7
The Nissen fundoplication reduces reflux by reinforcing the LES by increasing LES pressure and increasing the LES length. (wikipedia.org)
When compared to stand alone medical therapy with PPIs, Nissen fundoplication has been found to be superior in reducing acid reflux as well as the symptoms associated with reflux. (wikipedia.org)
The patient is a 32-year-old female who had undergone laparoscopic Nissen fundoplication six years previously for severe gastroesophageal reflux and low-grade Barrett's dysplasia. (sages.org)
Also, there are variations in the type of anti-reflux or fundoplication procedure performed depending on the esophageal function. (muschealth.org)
He said the last surgeon should not have done a Nissen revision and should have done a bypass instead because I had dysmotility of my esophagus so wrapping it again would exacerbate the reflux, which it did. (mayoclinic.org)
A Nissen fundoplication operation corrects the problem of acid reflux. (hdc.org.nz)
Presence of Barrett's esophagus is not an indication, as the benefit of a fundoplication in preventing progression into adenocarcinoma is controversial. (wikipedia.org)
In a fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter (LES). (wikipedia.org)
In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire 360 degrees around the esophagus. (wikipedia.org)
In a complete, or Nissen, fundoplication, the cinched section of stomach is wrapped fully around the bottom of the esophagus, much like a buttoned shirt collar encircles a neck. (westernsurgical.com)
The original fundoplication technique as described by Rudolf Nissen in 1955 consisted in wrapping the fundus of the stomach around the esophagus while leaving the gastrosplenic vessels and the diaphragmatic hiatus intact. (flymedi.com)
The video below shows not only the same animation, but also actual surgical footage of the Nissen fundoplication performed by Dr. Kevin Gillian at the Virginia Heartburn and Hernia Institute . (fauquierent.net)
Toupet1
The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180-200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes. (wikipedia.org)
Heller Myotomy1
Nonetheless, potential problems are associated with the most common esophageal procedures: Fundoplication, Heller myotomy, and esophagectomy. (sls.org)
Complete fundoplication2
Nissen (complete) fundoplication is generally considered to be safe and effective, with a mortality rate of less than 1% and many of the most common post-operative complications minimized or eliminated by the partial fundoplication procedures now more commonly used. (wikipedia.org)
The procedure is called Nissen fundoplication. (mayoclinic.org)
Endoscopic1
Endoscopic fundoplication (ie, Esophyx, Endogastic Solutions, Redmond, WA) can cause adherence of the GE junction to the diaphragm and other tissues. (sls.org)
Surgeon2
Surgeon wants to do a partial gastrectomy w/ a Roux-en-y. (mayoclinic.org)
I'm not from usa, do you think a surgeon should perform fundoplication op on someone with a 24hr ph de meester score of 1. (healthtap.com)
The complications of laparoscopic fundoplication have been covered in a separate chapter. (sls.org)
Wrap3
At time of redo laparoscopic fundoplication, a tissue plane to separate the wrap could not be recognized. (sages.org)
Called the Nissen Fundoplication or stomach wrap, the procedure essentially involves wrapping the top part of the stomach around the lower esophageal sphincter like a belt using tiny instruments inserted through small abdominal incisions. (fauquierent.net)
It was determined that the wrap on her Nissen fundoplication was too tight, and Mr Breeze performed a further operation that day to loosen the wrap. (hdc.org.nz)
Gastrostomy1
Methods: This is an observational cross sectional study, conducted in a conventional sample of 48 patients, 2 to 16 years of age, at the UFTM Clinical Hospital and the Children's Hospital of Uberaba, divided into 3 groups, as follows: 16 patients without disabilities (Group WD), 15 patients with CP (Group CP), and 17 patients with CP submitted to gastrostomy and Nissen fundoplication (Group WCP). (bvsalud.org)
Outcomes2
Outcomes comparing laparoscopic fundoplication to robotic fundoplication show similar clinical outcomes, but robotic fundoplication is more likely to have an increased length of operative time and financial cost. (wikipedia.org)
Robotic Nissen fundoplication is also very advantageous with good outcomes. (onteenstoday.com)
Ms A underwent a laparoscopic Nissen fundoplication operation, performed by Mr Breeze, on 17 September 1998 at Southern Cross Hospital, Tauranga. (hdc.org.nz)
Involves2
The Laparoscopic Nissen Fundoplication procedure involves a section of the top of the stomach being wrapped around the oesophagus to mimic the function of the LOS and stitched into place. (peptest.co.uk)
In both procedures, a Nissen Fundoplication involves wrapping the entire upper part of the stomach around the oesophagus. (glsurgical.com.sg)
Minimally1
Laparoscopic fundoplication has become one of the most common advanced minimally invasive procedures performed around the world. (sls.org)
19551
Dr. Rudolph Nissen (1896-1981) first performed the procedure in 1955 and published the results of two cases in a 1956 Swiss Medical Weekly. (wikipedia.org)
prior to fundoplication it was 517.3 ( just above the minimum)….if there were any promotility drugs availiable then your symptoms mayhave been not so severe. (mayoclinic.org)
In a recent study of 191 fundoplication patients, nearly 90 percent said they would be willing to undergo the procedure again. (westernsurgical.com)
Ils ont aussi donné 11 conférences et reçu en consultation 137 patients. (who.int)
Au total, 247 stagiaires et patients ont répondu à une enquête d'évaluation en 22 items. (who.int)
Symptoms1
People who have fundoplication are less likely to need daily medication, and their symptoms are likely to be reduced if medication is halted. (westernsurgical.com)
Endoscopy1
The diverticulum was confirmed with intraoperative endoscopy and ultimately, a diverticulectomy and re-do Nissen was performed. (sages.org)