Nissen Fundoplication Complications A Comprehensive View Mate

Nissen Fundoplication Complications A Comprehensive View Materials and Methods: This was an observational retrospective cohort study We would like to show you a description here but the site won’t allow us, It involves restoring the stomach to its proper position and reinforcing the lower esophageal sphincter, the muscular valve between the esophagus and the stomach, to prevent reflux, Apr 1, 2025 · A laparoscopic Nissen fundoplication was most common; however, a partial fundoplication was more common in revisions, Gastroesophageal reflux disease, a common illness in the United States, is primarily treated medically but may require surgery if there are persistent symptoms or reflux complications despite medical treatment, Antireflux surgery is often necessary, but a 10% failure rate is commonplace, The comparative outcomes of different approaches to fundoplication are a topic of ongoing debate and long-term outcomes remain uncertain, In our experience, RNY at an earlier point of the disease progression seems to be related with better outcomes, It may be performed as an open surgery or minimally invasive laparoscopic surgery, which would be decided by the surgeon based on his/her experience and Mar 27, 2024 · If managed operatively, omentopexy or redo-fundoplication may be employed, Dumping syndrome may occur when a large volume of gastric content is delivered to the duodenum or jejunum, resulting in both gastrointestinal and May 22, 2020 · Proper workup, patient selection, and careful surgical technique based on hiatoplasty and fundoplication lead to over 90% of excellent/good results in gastroesophageal reflux disease (GERD) control, May 6, 2025 · This updated meta-analysis with systematic review aimed to enhance the understanding of robotics in surgical GERD treatment by comparing the reliability and efficacy of two surgical approaches for Nissen fundoplication in pediatric patients: conventional laparoscopy (LNF- laproscopic Nissen fundoplication) and robot-assisted laparoscopy (RNF- robotic Nissen fundoplication), 3, 95% CI 1, Healthy Türkiye helps you find the best nissen fundoplication surgery in Turkey at affordable prices and adopts a 360-degree service approach in all areas of health through affiliated hospitals, Can Lifestyle and Dietary Changes Cure GERD? Jan 15, 2021 · Background: Endoscopic aspect of fundoplication anatomy: Normal aspect of Nissen fundoplication, Our academic enterprise extends over four principal We would like to show you a description here but the site won’t allow us, Laparoscopic total or Nissen fundoplication is indicated for individuals with gastroesophageal reflux disease (GERD) that meets one of the following criteria: (1) GERD that is refractory to proton pump inhibition, (2) GERD that is incompletely responsive to proton pump inhibition, (3) GERD that is entirely responsive to proton pump inhibition, but patient choice or side effect profile merits Sep 30, 2017 · Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms, Apr 3, 2025 · Yet, the long-term efficacy and impact on overall surgical outcomes continue to be areas of active research, 1, Nissen Fundoplication for Hiatal Hernia Relief Nissen Fundoplication for Hiatal Hernia Relief Nissen fundoplication is a surgical procedure commonly used to treat gastroesophageal reflux disease (GERD) and hiatal hernias that do not respond well to medication or lifestyle modifications, Laparoscopic Nissen fundoplication has become the most used and The study focuses on 30 patients diagnosed with refractory GERD who underwent laparoscopic fundoplication, Systematic review and meta-analysis of laparoscopic Nissen (posterior total) versus Toupet (posterior partial) fundoplication for gastro-oesophageal reflux disease, 01), Conflict of interest: None wireless pH monitoring, We acknowledged the statistical limitations resulting from sample size differences between the two surgical groups, In larger patients, the fundoplication is generally wrapped around a 54- to 56-Fr bougie, Jul 14, 2025 · The standard invasive anti-reflux procedure is laparoscopic fundoplication, which consists of repair of the diaphragmatic hiatus, restoration of the intra-abdominal location of the LES, and wrapping of the gastric fundus around the LES, either completely (Nissen fundoplication) or partially (Toupet or Dor fundoplication), Oct 13, 2018 · In this study, we examined the effects of age on the immediate operative outcome and complications of LARS (Nissen fundoplication) in a prospective fashion, Aug 12, 2024 · This comprehensive guide aims to provide an in-depth understanding of Nissen fundoplication, covering all aspects from indications and preoperative evaluation to surgical techniques, postoperative care, and long-term outcomes, Jun 12, 2023 · Background In the surgical management of GERD, the traditional procedure is laparoscopic total (Nissen) fundoplication, Nov 26, 2025 · Types Nissen 360° posterior fundoplication Toupet 270° posterior fundoplication Dor 180-200° anterior fundoplication Thal 270° anterior fundoplication Radiographic features An upper GI contrast study is the main imaging technique for evaluation of postoperative fundoplication and its complications, Specific to the nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or Jan 4, 2023 · There are three types of surgery for a hiatal hernia: Nissen fundoplication, open repairs, and endoluminal fundoplication, A Nissen fundoplication is a surgical procedure that treats gastroesophageal reflux disease (GERD), commonly known as acid reflux disease or hiatus hernia, We report results for patients undergoing About nissen fundoplication surgery in Turkey ensures the highest standards of care, offering a comprehensive and safe solution for your health needs, The review offers clinicians and surgeons an overall view in this field, Very briefly, during a Nissen fundoplication, our surgeons take a piece of the top part of your stomach (your fundus) and wrap it around your lower esophageal sphincter to re-establish a barrier between your stomach and your esophagus, 19 Long Mar 3, 2025 · Managing GERD involves reducing symptoms and preventing complications through lifestyle changes or medications, The knowledge of the timeline of the evolution of the procedures to treat GERD may prevent the repetition of In this review, we address the more common gastrointestinal complications of laparoscopic Nissen fundoplication and offer general guidelines in their diagnosis and management, The review ofers clinicians and surgeons an overall view in this field, 4–13, Randomized and observational clinical In 1 of 4 patients with a Thal-Nissen procedure, intrathoracic rupture of the stomach with gastro- bronchial fistula developed and necessitated left lower lobectomy, Laparoscopic antireflux surgery (LARS) is a safe re there are unsafe swallowing and/or feeding difficulties, Rudolph Nissen, You are put to sleep and any hiatal hernia is repaired, Mar 31, 2022 · Fundoplication is a surgical procedure that can help treat some gastrointestinal conditions, including acid reflux and hiatal hernias, Postoperative imaging findings contribute to the diagnosis of suc-cessful and failed fundoplication procedures, Mesh, relaxing incisions, and Collis were more common in revisional surgery, The findings demonstrate that the procedure is highly effective in symptom control and is associated with favorable outcomes in most Nissen Fundoplication A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD), Lapa-roscopic Nissen fundoplication has become the most used and suc Nissen Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) and hiatal hernia by wrapping the top part of the stomach around the lower esophagus to prevent acid reflux, Mar 19, 2024 · Background Laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux disease (GERD), GERD is increasingly prevalent and costly, and its effects are experienced daily by up to 10% of the population, However, like all surgical procedures, LNF carries certain risks and potential complications, geal sphincter, and the gastroesophageal flap valve, Laparoscopic Gastric Bypass / Gastric Exclusion – this is also a minimally invasive Jul 1, 2016 · Methods 87/105 patients (46 NI, 41 non-NI) undergoing fundoplication between 2003 and 2009 were included in this prospective two-center cohort study, Life-threatening complications, such as gastric perforation, can ensue, underscoring the need for swift diagnosis and treatment, The fundoplication consists of encircling the distal part of the esophagus (food pipe) with a portion of the upper portion We would like to show you a description here but the site won’t allow us, Avoid heavy lifting or strenuous activities during recovery, The main things that were compared between the Nissen and Thal fundoplication outcomes were complications after surgery, like dysphagia, the need for dilation after surgery, and the rates at which symptoms went away, RF has gained We would like to show you a description here but the site won’t allow us, Thoracic surgeons at NewYork-Presbyterian Hospital/Weill Cornell Medical Center perform a minimally invasive procedure called "laparoscopic Nissen fundoplication" to treat patients with GERD, Complications with laparoscopic nissen fundoplication are uncommon, but may include difficulty swallowing or belching, or abdominal infection, The fundoplication consists of encircling the distal part of the esophagus (food pipe) with a portion of the upper portion Apr 26, 2023 · Broeders JA, Mauritz FA, Ahmed Ali U, et al, 10D: Retroflexed endoscopic view showing retained gastric contents (G) after a night of fasting in a patient with a Nissen fundoplication, 3 Chyloascites has been reported in the literature as a complication, but the , In this article, we will explore the benefits and risks of laparoscopic Nissen Fundoplication, focusing on how the procedure works, its advantages and the We would like to show you a description here but the site won’t allow us, The morbidity associated with the upper midline incision of the open approach; however, limited its application to patients with symptoms refractory to medical therapy and severe complications of GERD, SINCE 1991, laparoscopic antireflux operations—Nissen and Toupet fundoplication and their modifications—have emerged as the surgical alternative for treatment of gastroesophageal reflux disease (GERD), The laparoscopic approach, with its smaller incisions and faster recovery time, offers significant advantages over traditional open surgery, Since its conception, 2 the Nissen fundoplication has been a successful operation with excellent long-term outcomes, The fundoplication is partially undone manifested by effacement of the depth of the fundoplication, The aim of this study was to Let’s explore the intricacies of TIF, its advantages, and its role in effective GERD management, Building on a foundation of outstanding achievement, we have entered the 21st Century with 41 full-time academic and 64 clinical faculty members, Antireflux surgery is often necessary, but a 10% failure rate is commonplace, Pediatric laparoscopic Nissen fundoplication (LNF) has become the standard approach at many centers, Results Jun 1, 2023 · Nissen fundoplication is a surgical procedure commonly performed to treat gastroesophageal reflux disease (GERD) and other related conditions, This study Jan 26, 2019 · Complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure, To assess whether reoperative surgery for failed Nissen fundoplication is beneficial and to classify all mechanisms of failure recognized, Recent findings Although the 360° Nissen fundoplication combined with crural repair remains the gold-standard ARS treatment for GERD, the Toupet and Dor partial fundoplications and the magnetic sphincter augmentation (LINX) procedure have emerged as suitable alternative options with fewer side-effects, When lifestyle changes and medications fail to control GERD, Nissen Fundoplication surgery offers a reliable and long-term solution, Apr 5, 2020 · A laparoscopic Nissen fundoplication is generally performed around a Maloney bougie ranging in size from 52 to 56 Fr for the small to average sized (70-kg) patient, (Right) Upright spot film from an esophagram performed soon after a Nissen FDP shows an intact wrap in its expected subdiaphragmatic location as a filling defect within the air-filled fundus, In this review, we address the more common gastrointestinal complications of laparoscopic Nissen fundoplication and offer general guidelines in their diagnosis and management, Indications of Anti-reflux Surgery GERD Hiatal hernia is a condition in which the stomach bulges up into the chest through an opening in the diaphragm, Possible complications associated with laparoscopic Nissen fundoplication include: Complications with laparoscopic nissen fundoplication are uncommon, but may include difficulty swallowing or belching, or abdominal infection, ABSTRACT The primary goal of antireflux surgery is to anatomically restore the antireflux barrier, thereby reducing gastroesophageal reflux episodes, However, partial fundoplication has been advocated as providing similar reflux control while potentially minimizing dysphagia, Sep 10, 2024 · Diet After Nissen Fundoplication: A Comprehensive Guide – NutriphyNissen fundoplication, a surgical procedure to treat severe gastroesophageal reflux disease (GERD), involves wrapping the upper part of the stomach around the lower esophageal sphincter, May 30, 2017 · A randomized controlled trial of laparoscopic Nissen fundoplication versus proton pump inhibitors for treatment of patients with chronic gastroesophageal reflux disease: one-year follow-up, Here are some key takeaways⁚ Gradual Dietary Progression⁚ Start with clear liquids and progress to full liquids and then a soft diet, gradually expanding your food choices, What is Transoral Incisionless Fundoplication? Transoral Incisionless Fundoplication (TIF) is a cutting-edge, minimally invasive surgical procedure designed to treat GERD, similar to procedures offered in our comprehensive GERD surgery options, Nov 16, 2016 · (Left) Graphic shows a Nissen fundoplication (FDP) with the gastric fundus wrapped completely (360°) around the gastroesophageal junction, A true cure typically requires addressing the root cause, such as a weak lower esophageal sphincter (LES) through Nissen Fundoplication surgery, By delving into the details of this surgical technique, you will gain a better Fundoplication is done as either an open or a laparoscopic procedure, See full list on my, The top of your stomach is wrapped around itself on your esophagus to recreate the lower esophageal sphincter, Apr 19, 2024 · The systematic data extraction process focused on essential information, providing a comprehensive understanding of laparoscopic fundoplication’s role in GERD management, Jul 23, 2025 · Nissen fundoplication is a surgical procedure designed to address this condition and its associated complications, This article aims to provide a comprehensive overview of Nissen Fundoplication, including its anatomy, the procedure itself, and the benefits it offers to patients, Here are four signs that you may be a good candidate for the Nissen fundoplication, Sep 10, 2024 · Key Takeaways This comprehensive guide provides a roadmap for navigating the first year after Nissen fundoplication, We would like to show you a description here but the site won’t allow us, This minimally invasive technique involves making several small incisions in the abdomen through which specialized instruments are inserted, Benefits of Laparoscopic Nissen Fundoplication This surgery has a high rate of success for patients over the long-term, Furthermore, the long-term efficacy (for at least 5 years) of laparoscopic Nissen fundoplication (LNF) in controlling reflux with respect to age is also investigated, Gas-related symptoms after laparoscopic 360 degrees Nissen or 270 degrees Toupet fundoplication in gastrooesophageal reflux disease patients with aerophagia as comorbidity, The surgery is named after the surgeon who first performed it, Dr, Complications include dysphagia, gastric hypersensitivity, abnormal gastric motility, gas bloat syndrome and GERD relapse, Jun 1, 2025 · Nissen fundoplication (NF) is the most established surgery for gastroesophageal reflux disease (GERD), yet the long-term durability of objective reflux control after antireflux surgery remains incompletely described, This study shows no benefits of adding a Nissen fundoplication procedure to anterior gastropexy for paraesophageal hernia repair, Our academic enterprise extends over four principal Jan 4, 2023 · There are three types of surgery for a hiatal hernia: Nissen fundoplication, open repairs, and endoluminal fundoplication, Jul 25, 2025 · The most common causes of vomiting after Nissen fundoplication include mechanical complications such as a tight wrap, slipped wrap, or paraesophageal hernia, Nov 26, 2025 · Types Nissen 360° posterior fundoplication Toupet 270° posterior fundoplication Dor 180-200° anterior fundoplication Thal 270° anterior fundoplication Radiographic features An upper GI contrast study is the main imaging technique for evaluation of postoperative fundoplication and its complications, This reinforces your lower esophageal sphincter to keep stomach acid from backing up into your esophagus, Jul 2, 2014 · Granderath FA, Kamolz T, Granderath UM, Pointner R, Several authors have published initial and intermediate results focusing mainly on the successful treatment of GERD and the changes that were directly related to the fundoplication such as May 18, 2025 · We also found an increased risk for second repair in the fundoplication group (OR 4, The application of laparoscopy to antireflux surgery has decreased patient morbidity and hospital length of stay and has replaced open abdominal Nissen fundoplication as the procedure of choice, Here, we present the case of a septic 21 year old patient who presented with an early gastro-oesophageal perforation 7 days following laparoscopic Nissen fundoplication, which was successfully repaired endoscopically using haemostatic clips, All three procedures require a general anesthetic, Patient satisfaction was highest in the extended myotomy with the Nissen fundoplication group (p = 0, Maintaining a healthy diet is crucial for long-term GERD management and preventing recurrence of symptoms, However, endoscopic assessment of fundoplication anatomy and its complications is poorly standardized among endoscopists, which leads to inadequate While Nissen Fundoplication is an effective solution for managing GERD, it is not without risks, including the potential for vagal nerve injury, Studies consistently report that more than 90% of patients achieve normalization of distal esophageal acid exposure at 1 year after surgery [1], [2], yet there are limited data on Laparoscopic Nissen fundoplication has become the mainstay of surgical treatment for gastroesophageal reflux disease whose most common complications consist of pneumothorax, pneumomediastinum, esophageal or gastric perforation, bleeding and mesenteric thrombosis, Access free multiple choice questions on this topic, These conditions cause symptoms (acid reflux, heartburn, and regurgitation) and complications (chronic inflammation possibly leading to cancer), Data were collected through clinical assessments, pre- and post-operative evaluations, and patient surveys, providing a comprehensive view of the surgery's efficacy and patient satisfaction, The entire fundoplication as an area view, a Nissen fundoplication appears as of contrast in On retroflexed the diaphragm, What to Expect: Laparoscopic Nissen Fundoplication Part of what makes our esophagus care special is our team approach, Nissen Fundoplication is a standard operative treatment in select patients with gastroesophageal reflux disease, Mar 20, 2025 · Nissen Fundoplication Recovery and Post-Surgical Care After the Nissen Fundoplication Surgery, patients should follow the recovery guidelines mentioned below to ensure proper healing and minimize complications, A small percentage of patients experience transthoracic migration of the wrap, causing recurrent symptoms and eventually requiring transthoracic repair, Can Lifestyle and Dietary Changes Cure GERD? Laparoscopic Nissen fundoplication is a common operation performed for reflux disease, generally with good results, Learn more, The surgical team will E: Esophageal dilation proximal to the fundoplication; T: Toupet fundoplication, Postoperative imaging findings contribute to the diagnosis of suc- cessful and failed fundoplication procedures, In this article, we will explore the benefits and risks of laparoscopic Nissen Fundoplication, focusing on how the procedure works, its advantages and the The laparoscopic approach, with its smaller incisions and faster recovery time, offers significant advantages over traditional open surgery, Jul 6, 2021 · Background Redo fundoplication (RF) and Roux-en-Y diversion (RNY) are both accepted surgical treatments after failed fundoplication, In this case report, laparoscopic adhesiolysis combined with transabdominal hiatal hernia repair and Nissen fundoplication was effective in treating this special case of recurrent esophageal hiatal hernia along with postoperative obstruction, During the procedure, a surgeon wraps the top of your stomach around the bottom of your esophagus, Laparoscopic Nissen fundoplication (LNF) has become the leading surgical treatment of refractory gastroesophageal reflux disease (GERD), The open procedure involves an incision of about 8 inches in the abdomen, while the laparoscopic approach is a minimally invasive technique producing 4 to 5-half-inch incisions, Jan 25, 2025 · Nissen fundoplication was associated with fewer GERD symptoms than Dor fundoplication (p = 0, Sep 5, 2025 · Understanding what Nissen Fundoplication is, how the procedure works, its potential complications, and the recovery process is essential for patients considering this treatment, Patients experiencing post-surgical complications should seek immediate medical advice and consider consulting with a medical malpractice attorney if negligence is suspected, A Nissen fundoplication is a specialized surgical procedure that reinforces the lower esophageal sphincter—the natural valve between your esophagus and stomach that prevents stomach contents from flowing backward, Discover a comprehensive guide to Laparoscopic Nissen Fundoplication and Hiatal Hernia Repair, Outline the importance of improving care coordination among the interprofessional team to enhance the delivery of care for patients undergoing the Nissen fundoplication, Lapa- roscopic Nissen fundoplication has become the most used and suc Nov 26, 2018 · Fundoplication surgery is a procedure that can help strengthen the opening between the esophagus and stomach, which can help prevent acid reflux in individuals with GERD, Inclusion Criteria We would like to show you a description here but the site won’t allow us, Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may also limit the success of antireflux surgery, It's a lifelong commitment to ensuring the continued effectiveness of the surgery, Four of 10 patients in whom the gastric wrap was left in the chest experienced se- vere complications: in 1 patient a lesser mature ulcer developed and required hemigastrectomy; 1 patient had herniation of the fundoplication with Sep 10, 2024 · The post-Nissen fundoplication diet is not a temporary measure, Mesh-related complications We would like to show you a description here but the site won’t allow us, We report results for patients Abstract Postoperative imaging findings contribute to the diagnosis of successful and failed fundoplication procedures, The goals of surgery are to eliminate symptoms, prevent reflux complications and ultimately improve the quality of life, Fundoplication is done as either an open or a laparoscopic procedure, We report a case of laparoscopic floppy Nissen fundoplication with splenic infarct that was recognized during the procedure and provide a brief literature review, Hiatal hernias occur when part of the stomach pushes up through the diaphragm into the chest cavity, which Mar 3, 2025 · Managing GERD involves reducing symptoms and preventing complications through lifestyle changes or medications, Furthermore, laparoscopic Nissen's fundoplication (LNF) is a well-established surgical therapy for GERD and has been demonstrated to provide effective and lasting relief from GERD symptoms (14), Background Nissen Fundoplication is a common surgical procedure performed in treating gastroesophageal reflux disease (GERD), Dedicated esophagus experts work alongside our renowned surgeons, delivering your treatment with a level of efficiency and precision that can only be found among the country’s most elite programs, May 19, 2023 · The illustration and description of the characteristic appearance of an anatomically intact Nissen fundoplication, Toupet fundoplication, Dor fundoplication, and Nissen fundoplication with Collis gastroplasty are shown in Figures 2 to 5, respectively, clevelandclinic, However, recovery We would like to show you a description here but the site won’t allow us, It was not superior compared to gastropexy alone in terms of postoperative reflux control or preventing We would like to show you a description here but the site won’t allow us, Jul 1, 2024 · Discussion Acute Gastric volvulus post Laparoscopic Nissen Fundoplication is attributed to adhesions, gastrostomy tubes, and foreign bodies like sutures, Nissen Fundoplication A Nissen fundoplication is a surgery to treat gastroesophageal reflux disease (GERD), 009), We developed a minimal access surgery (MAS) training curriculum to enhance the delivery of MAS for pediatric patients in a resource-limited setting, Cite this article: fundoplication have been previously described of fundoplication narrowing On esophagram, be the diaphragmatic crura, Jun 1, 2023 · Nissen fundoplication is a surgical procedure commonly performed to treat gastroesophageal reflux disease (GERD) and other related conditions, Laparoscopic Toupet or Nissen Fundoplication – this is also a minimally invasive surgery, org Jul 1, 2017 · Postoperative dysphagia and dyspeptic symptoms are very frequent and require an integrated approach to determine the best possible treatment, Jul 1, 2016 · Postoperative complications occurring the first 30 days after Nissen fundoplication in children with (NI) and without neurological impairment (non-NI), graded according to the Clavien-Dindo classification and comprehensive complication index (CCI) (see Materials and Methods for description), Sep 5, 2025 · Nissen Fundoplication is a surgical procedure commonly performed to treat Gastroesophageal Reflux Disease (GERD), a condition where stomach acid frequently flows back into the esophagus, causing discomfort and potential damage to the esophageal lining, This requires careful attention to food choices‚ portion sizes‚ and eating Laparoscopic Nissen fundoplication yields similar symptomatic and objective results at 5 years after surgery when compared with its conventional counterpart, Mar 27, 2024 · If managed operatively, omentopexy or redo-fundoplication may be employed, Jul 17, 2023 · Review the complications of Nissen fundoplication, Upper digestive endoscopy is important for the evaluation of patients submitted to fundoplication, especially to elucidate postoperative symptoms, 3), No mortality occurred, and complications were minimal, This review details the pathophysiologic aspects, diagnostic approach, and treatment of the symptoms and complications after fundoplication for the management of GERD, General Surgery - HomepageThe Division of General Surgery at the University of California, San Francisco has a long, proud tradition of excellence in clinical care, surgical education, and research, This strengthens the barrier against stomach acid reflux, alleviating symptoms like heartburn and acid regurgitation, During this procedure, the weakened lower esophageal sphincter is supported by wrapping the top portion of the stomach around the lower esophagus as a Jul 1, 2016 · Methods 87/105 patients (46 NI, 41 non-NI) undergoing fundoplication between 2003 and 2009 were included in this prospective two-center cohort study, Follow a liquid or soft food diet for a few weeks, Jul 22, 2024 · In this comprehensive guide, we will delve into the various complications associated with vagus nerve damage after Nissen fundoplication, empowering you with the knowledge to address these issues effectively, The systematic data extraction process focused on essential information, providing a comprehensive understanding of laparoscopic fundoplication’s role in GERD management, The main objective of this study was to assess the HRQoL of children with GERD after Nissen fundoplication and gastrostomy tube insertion, Complications occurring within the first 30 days were scored from 0 to 100 by the comprehensive complication index (CCI), Table 6: Complications among the study population (N=1200) Discussion This study provides a comprehensive evaluation of laparoscopic fundoplication as a surgical treatment for intractable gastroesophageal reflux disease (GERD) associated with hiatal hernia (HH), Esophagus: Fundoplication Fundoplication – Types Nissen Fundoplication Procedure Position in Steep Reverse Trendelenburg Mobilize the Esophagus Divide the Gastrohepatic Ligament – Initial Landmark Watch for Replaced Left Hepatic Artery Bluntly Mobilize the Right Crus Preserve the Anterior Vagus Nerve Keep Peritoneal Covering Over the Crura (Stripping Will Weaken the Repair) Bluntly Laparoscopic Nissen Fundoplication Laparoscopic Nissen fundoplication is one of the most commonly performed surgical procedures for treating hiatal hernias and associated gastroesophageal reflux disease, Laparoscopic Nissen Fundoplication is a minimally invasive form of anti-reflux surgery performed to restore the function of the lower oesophagal sphincter, These results must be used as benchmarks when a new procedure is created (or recreated), Furthermore, explore different types of surgery, recovery, and expected outcomes, The majority of patients recover without major issues, but understanding the possible side effects and risks can help in early detection and proper Abstract Short gastric vessels are divided during the laparoscopic Nissen fundoplication resulting in splenic infarct in some cases, Jul 1, 2024 · Efficacy of laparoscopic Nissen fundoplication vs transoral incisionless fundoplication or proton pump inhibitors in patients with gastroesophageal reflux disease: a systematic review and network meta-analysis We would like to show you a description here but the site won’t allow us, Jun 13, 2025 · Potential Risks and Complications While Laparoscopic Nissen Fundoplication treatment is a safe and effective procedure, like any surgery, it comes with potential risks and complications, Plain language summary Fundoplication is a surgical procedure to correct both hiatus hernia and gastroesophageal reflux disease, Classification of complications and results Although each patient requiring operation after a "failed" Nissen fundoplication presented certain unique problems not necessarily common to others, it was possible to classify the postoperative complications into general categories as listed in Table I, However, due to higher reported morbidity, RNY is more commonly performed only after several surgical failures,